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Fresno Community Hospital and Medical Center

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fresno, CA

NPI 1821179656 · NPPES record last updated Aug 22, 2025

Key facts

NPI
1821179656
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
040000096 (CA)
Legal business name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Practice address
215 N Fresno St
Suite 150
Fresno, CA 93701-2304
Phone
(559) 459-3901
Fax
(559) 459-2579
NPI assigned
Oct 18, 2006
Organization subpart
Yes
Parent organization (as reported)
COMMUNITY REGIONAL MEDICAL CENTER

Authorized official

Name
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 with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 21

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

Practitioners 57

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

View all 57

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20021002000005 CA Part a Provider - End-Stage Renal Disease Facility (ESRD) 3173430865 Practice locations: Fresno, CA

National Provider Directory

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

Locations

215 N Fresno St
Ste 150
Fresno, CA 93701
Phone (559) 459-3901

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 040000096 CA Yes

Addresses

Primary practice location

215 N Fresno St
Suite 150
Fresno, CA 93701-2304

Mailing address

215 N Fresno St
Suite 150
Fresno, CA 93701-2304
Phone (559) 459-3901

Other names

  • Community Dialysis Center - Fresno Doing business as

Other providers in Fresno, CA

All providers in Fresno, CA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.