Organization Active NPI

Fresno Metropolitan Ministry

  • Community Health Worker
  • Fresno, CA
National Provider Identifier
1760179899
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
FRESNO METROPOLITAN MINISTRY
Practice address
3845 N Clark St Ste 101
Fresno, CA 93726-4812
Phone
(559) 485-1416
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Emogene Nelson
Title
Executive Director
Phone
(559) 485-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

3845 N Clark St Ste 101
Fresno, CA 93726-4812

Mailing address

3845 N Clark St Ste 101
Fresno, CA 93726-4812
Phone (559) 485-1416

Other names 1

  • Fresno Metro Ministry Doing business as

National Provider Directory

National Provider Directory

Locations

3845 N Clark St
Ste 101
Fresno, CA 93726
Phone (559) 485-1416

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1760179899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 N CLARK ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264812",
            "telephone_number": "559-485-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 N CLARK ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264812",
            "telephone_number": "559-485-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO METROPOLITAN MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "EMOGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-485-1416"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresno Metro Ministry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 19, 2023; 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.