Fresno Women'S Medical Group, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Clovis, CA. Organization (NPI-2).
NPI number1992710552
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1992710552
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresno Women'S Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
726 N. Medical Center Drive EastSuite 221
Clovis, CA 93611-6886
Phone 559-322-2900 · Fax 559-324-8793
Mailing address
726 N. Medical Center Drive EastSuite 221
Clovis, CA 93611-6886
Phone 559-322-2900 · Fax 559-324-8793
Authorized official
Sharon Monica Kopacz
Physician-Sole Owner
5593222900
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