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COUNTY OF FRESNO NPI 1174606420


NPI Information

NPI: 1174606420
Provider Name: COUNTY OF FRESNO

Other Name: DEPARTMENT OF PUBLIC HEALTH

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
1221 FULTON MALL
PUBLIC HEALTH CLINICS, 1ST FLOOR
FRESNO, CA
ZIP 93721
Phone: (559) 600-3200
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COUNTY OF FRESNO is a public health and state or local clinic center in Fresno, CA. COUNTY OF FRESNO NPI is 1174606420. The provider is registered as an organization entity type.
The provider Other Name Is Department Of Public Health.

The provider's business location address is:

1221 FULTON MALL
PUBLIC HEALTH CLINICS, 1ST FLOOR
FRESNO, CA
ZIP 93721-915
Phone: (559) 600-3200
Fax: (559) 600-7687

The provider's authorized official is David Pomaville .
The authorized official title is Director and has the following contact phone number (559) 600-3200.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/15/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP0905XClinic/CenterPublic Health, State or LocalCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MMM00140MMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2CMM70293FOTHERCALIFORNIAMEDI-CAL

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: 4/28/2024

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