NPIMap

Organization Active NPI

John C. Fremont Healthcare District

  • Critical Access Hospital Clinic/Center
  • Mariposa, CA
National Provider Identifier
1669695185
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
040000108 Issued in CA
Legal business name
JOHN C. FREMONT HEALTHCARE DISTRICT
Practice address
5189 Hospital Rd
Mariposa, CA 95338-9524
Phone
(209) 966-3631
Fax
(209) 966-3776
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Alan G Macphee
Title
Ceo
Phone
(209) 966-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 040000108 CA Primary

Addresses

Primary practice location

5189 Hospital Rd
Mariposa, CA 95338-9524

Mailing address

PO Box 216
Mariposa, CA 95338-0216
Phone (209) 966-3631

Other identifiers 1

IdentifierTypeStateIssuer
CGP-003225MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
John C Fremont Healthca17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1669695185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380216",
            "telephone_number": "209-966-3631",
            "fax_number": "209-966-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 HOSPITAL RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "209-966-3631",
            "fax_number": "209-966-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. FREMONT HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "MACPHEE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-966-3631"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "CA",
            "license": "040000108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP-003225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mariposa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.