Medmark Treatment Centers-Fresno East, Inc.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

PENDING Issued in CA

Legal business name

MEDMARK TREATMENT CENTERS-FRESNO EAST, INC.

Practice address

5510 E Kings Canyon Rd
Fresno, CA 93727-4526

Phone

(559) 264-2700

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William J Gecsey

Title

Ceo

Phone

(630) 925-1401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1073705497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR",
            "address_2": "420",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814823",
            "telephone_number": "630-925-1400",
            "fax_number": "630-925-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274526",
            "telephone_number": "559-264-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMARK TREATMENT CENTERS-FRESNO EAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "GECSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-925-1401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medline Medical Center
• Aubree Medlock
• Laurel J Medlock
• Medmark Treatment Center Fresno
• Medmark Treatment Centers - Fresno West, Inc.
• Medmark Treatment Centers, Inc.
• Medmark1
• Elida Medrano-Camarillo
• Eleanor Medrano-Colon
• Ana Medrano, M.S., CCC-SLP

• Legal Medicine in Fresno, CA
• Providers in Fresno, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.