Organization Active NPI

Hanford Community Medical Center

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1891720199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HANFORD COMMUNITY MEDICAL CENTER
Practice address
1524 W Lacey Blvd
Suite 101 - 202
Hanford, CA 93230-5965
Phone
(559) 583-4697
Fax
(559) 583-4600
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kirby McKague, CFO
Title
Chief Financial Officer
Phone
(559) 585-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1524 W Lacey Blvd
Suite 101 - 202
Hanford, CA 93230-5965

Mailing address

1524 W Lacey Blvd
Suite 205
Hanford, CA 93230-5965
Phone (559) 583-4500

Other identifiers 1

IdentifierTypeStateIssuer
ZZT40121FMedicaidCA

Other names 1

  • Hanford Regional HealthCare Network Doing business as

National Provider Directory

National Provider Directory

Locations

1524 W Lacey Blvd
Ste 205
Hanford, CA 93230
Phone (559) 582-1047

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891720199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W LACEY BLVD",
            "address_2": "SUITE 205",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305965",
            "telephone_number": "559-583-4500",
            "fax_number": "559-583-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W LACEY BLVD",
            "address_2": "SUITE 101 - 202",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305965",
            "telephone_number": "559-583-4697",
            "fax_number": "559-583-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANFORD COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKAGUE",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-585-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40121F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanford Regional HealthCare Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.