Fresno Community Hospital and Medical Center

Organization Active NPI General Acute Care Hospital · Fresno, CA

NPI 1801060975 · NPPES record last updated Jul 2, 2025

Key facts

NPI
1801060975
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
040000096 (CA)
Legal business name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 459-1672
Fax
(559) 459-1058
NPI assigned
Apr 18, 2008
Organization subpart
Yes
Parent organization (as reported)
COMMUNITY REGIONAL MEDICAL CENTER

Authorized official

Name
Mr. Craig Allen Wagoner
Title
Ceo
Phone
(559) 324-4266

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 21

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

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050531000251 CA Part B Supplier - Clinic/Group Practice 3173430865 Receives reassigned benefits from 122 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clovis, CA; Fresno, CA

National Provider Directory

Tax ID family
Fresno Community Hospital (22 organizations share this tax ID)
Part of
Fresno Community Hospital

Locations

2335 E Kashian Ln
Fresno, CA 93701
Phone (559) 284-7264

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 040000096 CA Yes

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2823 Fresno St
PO Box 1232
Fresno, CA 93721-1324
Phone (559) 459-1672

Other names

  • Fresno Community Pulmonary Other name

Other providers in Fresno, CA

All providers in Fresno, CA · General Acute Care Hospital in California

Sources for this page

Verify at the official NPI Registry.