NPIMap

Organization Active NPI

Panacea Services, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1548693179
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA SERVICES, INC.
Practice address
114 E Shaw Ave Ste 211
Fresno, CA 93710-7621
Phone
(559) 241-0364
NPI assigned
Aug 19, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PANACEA SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Mr. Phillip CowingsNPI 1164789905
Title
Ceo
Phone
(559) 241-0364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

114 E Shaw Ave Ste 211
Fresno, CA 93710-7621

Mailing address

3152 N Millbrook Ave Ste D
Fresno, CA 93703-1459
Phone (559) 241-0364

National Provider Directory

National Provider Directory
Tax ID family
Panacea Inc52 organizations share this tax ID, including this one
Part of
Panacea Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

114 E Shaw Ave
Ste 211
Fresno, CA 93710
Phone (559) 241-0364

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1548693179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N MILLBROOK AVE STE D",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031459",
            "telephone_number": "559-241-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E SHAW AVE STE 211",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107621",
            "telephone_number": "559-241-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANACEA SERVICES, INC.",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "COWINGS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-241-0364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Aug 19, 2013; 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.