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CLINICA SIERRA VISTA NPI 1245489814


NPI Information

NPI: 1245489814
Provider Name: CLINICA SIERRA VISTA

Doing Business As: ELM COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2740 S ELM AVE
FRESNO, CA
ZIP 93706
Phone: (559) 457-5200
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CLINICA SIERRA VISTA is a federally qualified health center (fqhc) clinic center in Fresno, CA. CLINICA SIERRA VISTA NPI is 1245489814. The provider is registered as an organization entity type.
The provider Is Doing Business As Elm Community Health Center.

The provider's business location address is:

2740 S ELM AVE
FRESNO, CA
ZIP 93706-435
Phone: (559) 457-5200
Fax: (559) 457-5296

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 enumeration date for this NPI number is 9/18/2008 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)040000244CALIFORNIAYes

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
1ZZZ54414YOTHERCALIFORNIABLUE SHIELD

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: 11/14/2023

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