NPIMap

Fresno Community Hospital and Medical Center

Organization Active NPI General Acute Care Hospital · Fresno, CA

NPI 1104906569 · NPPES record last updated Jun 24, 2025

Key facts

NPI
1104906569
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
040000096 (CA)
Legal business name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 459-1672
Fax
(559) 459-1058
NPI assigned
Oct 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Craig Allen Wagoner
Title
Ceo
Phone
(559) 324-4266

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 21

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 946

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 946

Affiliated clinicians 1,073

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,073

Medicare Care Compare: Hospital

Listed as
Community Regional Medical Center CCN 050060
Overall star rating
★☆☆☆☆ 1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0688073Community Regional Medical Center
2823 Fresno St, Clinical Lab Admin, Fresno, CA 93721		AccreditationJun 13, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Hospital certification: CCN 050060

Legal name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Doing business as
COMMUNITY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 27, 2026
Beds
794
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 1, 2015 (3 total)
Organization structure
Corporation · Non-profit
Incorporated
Jul 13, 1945 in CA
Enrollment address
2823 Fresno St
Fresno, CA 93721-1324
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Keith B Boone
Individual 		Corporate Director
Board MBR		 Jan 1, 2019
Deborah P Moffett
Individual 		Corporate Officer
Vice Treasurer		 Jan 1, 2019
W-2 Managing Employee
Vice President, Finance Administ		 Jan 1, 2013
Operational/Managerial Control
Vice Treasurer		 Jan 1, 2013
Susan M Abundis
Individual 		Corporate Director
Board Member		 Jan 1, 2019
Gregory L Copeland
Individual 		Corporate Director
Board Member		 Feb 25, 2025
Gregory Carl Estep
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Roger E Sturdevant
Individual 		Corporate Officer
Chair		 Apr 12, 2023
Corporate Director
Board Member		 Jan 1, 2019
Craig Wagoner
Individual 		Corporate Officer
Chief Executive Officer		 Feb 3, 2025
W-2 Managing Employee
Chief Executive Officer		 Feb 3, 2025
Operational/Managerial Control
Chief Executive Officer		 Feb 3, 2025
Gerardo Hernandez
Individual 		Corporate Director
Board Member		 Jun 6, 2023
Wagih William Ibrahim
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Nicholas David Dugan
Individual 		Corporate Director
Board Member		 Feb 25, 2025
Mark J Coelho
Individual 		Corporate Director
Board Member		 Feb 7, 2023
Fabiola Gonzalez
Individual 		Corporate Director
Board Member		 May 20, 2025
Isabel D Martinez
Individual 		Corporate Officer
Vice Secretary		 Jan 1, 2023
Chandrasekar Venugopal
Individual 		Corporate Director
Board Member		 Jan 1, 2019
Leland D Parnagian
Individual 		Corporate Director
Board Member		 Feb 7, 2023
Christopher M Neuman
Individual 		Corporate Officer
Chief Financial Officer		 Jan 1, 2023
W-2 Managing Employee
Chief Financial Officer		 Jan 1, 2023
Operational/Managerial Control
Chief Financial Officer		 Jan 1, 2023
Lori Anne Bennett
Individual 		Corporate Director
Board Member		 May 4, 2022
Community Hospitals of Central California
Organization · Clovis, CA
Corporation, Non-profit, Chain home office 		5% Or Greater Direct Ownership Interest Sep 10, 1982 100%
Operational/Managerial Control Dec 1, 2002
Katherine R. Melendez
Individual 		Corporate Officer
Second Vice Secretary		 Jan 1, 2023
Karen M McCaffrey
Individual 		Corporate Officer
Board Secretary		 Jan 1, 2023
Corporate Director
Board Member		 May 7, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20021127000007 CA Part a Provider - Hospital 3173430865 Practice locations: Clovis, CA; Fresno, CA

National Provider Directory

Tax ID family
Fresno Community Hospital (22 organizations share this tax ID)

Locations (25 of 74)

2701 Chester Ave
#101
Bakersfield, CA 93301

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

729 N Medical Center Dr W
#22323
Clovis, CA 93611

2151 Herndon Ave
Ste 101
Clovis, CA 93611

785 N Medical Center Dr W
#106
Clovis, CA 93611

729 N Medical Center Dr W
Ste 215
Clovis, CA 93611
Phone (559) 324-6800

1817 Shaw Ave
Ste 101
Clovis, CA 93611
Phone (559) 325-1999

684 N Medical Center Dr E
Ste 106
Clovis, CA 93611
Phone (559) 299-9000

585 N Halifax Ave
Ste 101
Clovis, CA 93611
Phone (559) 603-7420

2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608

2497 Herndon Ave
Ste 102
Clovis, CA 93611
Phone (559) 450-8886

688 N Medical Center Dr E
Ste 106
Clovis, CA 93611
Phone (559) 297-8604

722 N Medical Center Dr E
Ste 101
Clovis, CA 93611
Phone (559) 297-9500

255 W Bullard Ave
Ste 102
Clovis, CA 93612
Phone (559) 299-2128

604 N Magnolia Ave
Ste 100
Clovis, CA 93611
Phone (559) 320-0531

2710 Dolbeer St
Eureka, CA 95501
Phone (707) 267-2060

1374 E Alluvial Ave
Fresno, CA 93720
Phone (559) 450-7272

6775 N Blackstone Ave
Ste 102
Fresno, CA 93710
Phone (559) 512-2122

1313 E Herndon Ave
Ste 101B
Fresno, CA 93720

5043 E Kings Canyon Rd
Ste 101
Fresno, CA 93727
Phone (559) 455-1500

5430 N Palm Ave
Ste 106
Fresno, CA 93704
Phone (559) 438-4141

1313 E Herndon Ave
Fresno, CA 93720
Phone (559) 439-6808

568 E Herndon Ave
Ste 104
Fresno, CA 93720

6700 N 1st St
Ste 105
Fresno, CA 93710
Phone (559) 431-0757

7125 N Chestnut Ave
Ste 106
Fresno, CA 93720
Phone (559) 325-3070

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 040000096 CA Yes

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2823 Fresno St
PO Box 1232
Fresno, CA 93721-1324
Phone (559) 459-6000

Other names

  • Community Regional Medical Center Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Fresno, CA

All providers in Fresno, CA · General Acute Care Hospital in California

Sources for this page

Verify at the official NPI Registry.