Madera Community Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

040000191 Issued in CA

Legal business name

MADERA COMMUNITY HOSPITAL

Practice address

1210 E Almond Ave
Madera, CA 93637-5606

Phone

(559) 675-5530

Fax

(559) 675-5532

NPI assigned

Jan 17, 2006

Last updated

May 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark James Foote

Title

VP-Finance/Cfo

Phone

(559) 675-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Health Services Rural Health Clinic Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Madera Community Hospital

  dba Family Health Services Rural Health Clinic

  • General Acute Care Hospital
  • Madera, CA
  • NPI 1669673646

  Member Of

  NPD member

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1174503114",
    "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": "559-675-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375606",
            "telephone_number": "559-675-5530",
            "fax_number": "559-675-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VP-FINANCE/CFO",
        "authorized_official_telephone_number": "559-675-5505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "040000191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM13990F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Services Rural Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madera Ambulatory Surgery Center
• Madera Anesthesia Assoc Med GRP
• Madera Anesthesia Consultants, Inc
• Madera Community Health Center, Inc.
• Madera Community Hospital
• Madera Community Hospital
• Madera Community Hospital
• Madera Community Hospital (Family Health Services Rural Health Clinic)
• Madera Community Hospital
• Madera Convalescent Hospital, Inc. (Madera Rehabilitation and Nursing Center)

• Rural Health Clinic/Center in Madera, CA
• Providers in Madera, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.