MADERA COMMUNITY HOSPITAL NPI 1174503114

NPI Information

NPI: 1174503114
Provider Name: MADERA COMMUNITY HOSPITAL

Other Name: FAMILY HEALTH SERVICES RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 05D2045072

Address:
1210 E ALMOND AVE
MADERA, CA
ZIP 93637
Phone: (559) 675-5530
Get Directions

MADERA COMMUNITY HOSPITAL is a rural health clinic center in Madera, CA. MADERA COMMUNITY HOSPITAL NPI is 1174503114. The provider is registered as an organization entity type.
The provider Other Name Is Family Health Services Rural Health Clinic.

The provider's business location address is:

1210 E ALMOND AVE
MADERA, CA
ZIP 93637-606
Phone: (559) 675-5530
Fax: (559) 675-5532

The provider's authorized official is Mark James Foote .
The authorized official title is Vp-finance/cfo and has the following contact phone number (559) 675-5505.

The CLIA number assigned to this NPI record is 05D2045072 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 5/8/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	040000191	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RHM13990F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »