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FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER NPI 1477635191


NPI Information

NPI: 1477635191
Provider Name: FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

Doing Business As: COMMUNITY DIALYSIS HOME PROGRAM CAPD

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2823 FRESNO ST
FRESNO, CA
ZIP 93721
Phone: (559) 459-1672
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FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Fresno, CA. FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER NPI is 1477635191. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Dialysis Home Program Capd.

The provider's business location address is:

2823 FRESNO ST
FRESNO, CA
ZIP 93721-324
Phone: (559) 459-1672
Fax: (559) 459-1058

The provider's authorized official is James Cole .
The authorized official title is Dir. Government Reimbursement and has the following contact phone number (559) 459-1672.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 5/14/2008.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment040000096CALIFORNIAYes

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
1052372MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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