Fresno Community Hospital And Medical Center
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Clovis, CA. Organization (NPI-2).
NPI number1497836613
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1497836613
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresno Community Hospital And Medical Center
- Organization subpart
- Yes
- Enumeration date
- Oct 17, 2006
- Certification date
- Mar 7, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 040000096 | CA | Yes |
Other names
- Community Dialysis Center-Clovis (Doing Business As)
Practice location
501 N. Medical Center Drive EastSuite 1100
Clovis, CA 93611
Phone 559-324-4030 · Fax 559-324-3748
Mailing address
501 N. Medical Center Drive EastSuite 1100
Clovis, CA 93611
Phone 559-324-4030 · Fax 559-324-3748
Authorized official
Craig Stanley Castro
Ceo
5593244884
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