Firebaugh and Mendota Health Clinics, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FIREBAUGH AND MENDOTA HEALTH CLINICS, INC.

Doing business as

Mendota Family Health Clinic

Practice address

507 Oller St
Mendota, CA 93640-2360

Phone

(559) 655-4211

Fax

(559) 655-5256

NPI assigned

Apr 13, 2007

Last updated

Apr 29, 2022By 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

Ms. Isela M Haro

Title

Office Manager Assistant

Phone

(559) 449-1237

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MENDOTA FAMILY HEALTH CLINIC Doing business as

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1225252869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 HIGH ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623512",
            "telephone_number": "559-897-5399",
            "fax_number": "559-897-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 OLLER ST",
            "city": "MENDOTA",
            "state": "CA",
            "postal_code": "936402360",
            "telephone_number": "559-655-4211",
            "fax_number": "559-655-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREBAUGH AND MENDOTA HEALTH CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "HARO",
        "authorized_official_first_name": "ISELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER ASSISTANT",
        "authorized_official_telephone_number": "559-449-1237",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM03914H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENDOTA FAMILY HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MENDOTA FAMILY HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leticia Cantor, LCSW
• Christine Chang, M.D.
• Eminence Healthcare, Inc.
• Family Health Centers Inc (Dinuba Rural Health Center)
• Norma Gabriela Figueroa
• Fresno County Behavioral Health
• Keyly Cristal Fuentes Delcid, ACSW
• Veronica Antonina Gariuc, DDS
• Ravleen Kaur Gill
• Kongsab La Hatlavongsa, DDS

• Rural Health Clinic/Center in Mendota, CA
• Providers in Mendota, 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 Apr 29, 2022; 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.