NPIMap

Organization Active NPI

Madera Community Hospital

  • Rural Health Clinic/Center
  • Madera, CA
National Provider Identifier
1013190891
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MADERA COMMUNITY HOSPITAL
Practice address
1250 E Almond Ave
Madera, CA 93637-5606
Phone
(559) 675-5555
Fax
(559) 675-5574
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Foote
Title
Chief Financial Officer
Phone
(559) 675-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1250 E Almond Ave
Madera, CA 93637-5606

Mailing address

1250 E Almond Ave
Madera, CA 93637-5606
Phone (559) 675-5555

Other identifiers 1

IdentifierTypeStateIssuer
BCP13990FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Madera Comm Hosp Ekg de6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1013190891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375606",
            "telephone_number": "559-675-5555",
            "fax_number": "559-675-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375606",
            "telephone_number": "559-675-5555",
            "fax_number": "559-675-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-675-5505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP13990F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.