Organization Active NPI

Supplemental Health Care

  • Health Maintenance Organization
  • Fresno, CA
National Provider Identifier
1063708527
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SUPPLEMENTAL HEALTH CARE
Practice address
575 E. Alluvial Avenue
Fresno, CA 93720
Phone
(866) 268-2411
NPI assigned
Jun 23, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Claudia Hanger, OT
Title
Occupatioanl Therapist
Phone
(916) 705-2655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CA Primary

Addresses

Primary practice location

575 E. Alluvial Avenue
Fresno, CA 93720

Mailing address

575 E Alluvial Ave
Fresno, CA 93720-2822
Phone (866) 268-2411

National Provider Directory

National Provider Directory

Locations

575 E Alluvial Ave
Fresno, CA 93720
Phone (559) 224-6350

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1063708527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202822",
            "telephone_number": "866-268-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E. ALLUVIAL AVENUE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "866-268-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "HANGER",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OCCUPATIOANL THERAPIST",
        "authorized_official_telephone_number": "916-705-2655",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.