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Federally qualified health center in Fresno, CA, Medicare certification number 921814.
Medicare certification
Provider of Services- CCN
- 921814
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Jan 23, 2020
- Last certification
- Jan 23, 2020
- Address
- 4420 1St Street Ste 123
Fresno, CA 93726
(559) 231-5366
NPI records for this facility (CCN to NPI Mapping) 1
-
- Primary Care Clinic/Center
- Fresno, CA
- NPI 1740625235
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.