CLINICA SIERRA VISTA NPI 1033486048

NPI Information

CLINICA SIERRA VISTA is a federally qualified health center (fqhc) clinic center in Fresno, CA. CLINICA SIERRA VISTA NPI is 1033486048. The provider is registered as an organization entity type.
The provider Is Doing Business As West Shaw Community Health Center.

The provider's business location address is:

3645 W SHAW AVE STE 101
FRESNO, CA
ZIP 93711-206
Phone: (559) 457-6800
Fax: (559) 457-6890

The provider's authorized official is Stacy Ferreira .
The authorized official title is Chief Executive Officer and has the following contact phone number (661) 635-3050.

The CLIA number assigned to this NPI record is 05D2048800 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 3/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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