Fresno County Public Health
Organization Active NPI Community/Behavioral Health Agency · Fresno, CA
NPI 1043630262 · NPPES record last updated Apr 28, 2014
Key facts
- NPI
- 1043630262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 34122 (CA)
- Legal business name
- FRESNO COUNTY PUBLIC HEALTH
- Practice address
- 1225 M St
Fresno, CA 93721-1805 - Phone
- (559) 600-9300
- NPI assigned
- Apr 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Ryan Holmes
- Title
- LPT
- Phone
- (559) 312-4864
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Community Care Services
Locations
1225 M St
Fresno, CA 93721
Phone (559) 600-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 34122 | CA | Yes |
Addresses
Primary practice location
1225 M St
Fresno, CA 93721-1805
Mailing address
4749 N Pacific Ave
Fresno, CA 93705-0531
Phone (559) 312-4864
NPI Registry JSON
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398643200000",
"number": "1043630262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4749 N PACIFIC AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937050531",
"telephone_number": "559-312-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 M ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211805",
"telephone_number": "559-600-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESNO COUNTY PUBLIC HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "LPT",
"authorized_official_telephone_number": "559-312-4864",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "34122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Fresno County Juvenile Justice Campus
- Fresno County Office of Education
- Fresno County Paths
- Fresno County Psychiatric Assessment Center for Treatment
- Fresno County Psychiatric Health Facility
- Fresno County Superintendent of Schools
- Fresno County Superintendent of Schools
- Fresno County Superintendent of Schools
- Fresno County West Fresno Regional MH Clinic
- Fresno County Youth Link
All providers in Fresno, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.