Fresno Community Hospital And Medical Center
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Fresno, CA. Organization (NPI-2).
NPI number1821179656
StatusActive
Last updated in NPPESAug 22, 2025
Details
- NPI
- 1821179656
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresno Community Hospital And Medical Center
- Organization subpart
- Yes
- Enumeration date
- Oct 18, 2006
- Certification date
- Aug 22, 2025
- Last updated
- Aug 22, 2025
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 - Fresno (Doing Business As)
Practice location
215 N Fresno StSuite 150
Fresno, CA 93701-2304
Phone 559-459-3901 · Fax 559-459-2579
Mailing address
215 N Fresno StSuite 150
Fresno, CA 93701-2304
Phone 559-459-3901 · Fax 559-459-2579
Authorized official
Craig Allen Wagoner
Ceo
5593244266
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