NPIMap

Organization Active NPI

Eureka Program

  • Children's Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1962724120
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
EUREKA PROGRAM
Practice address
916 Waterman Ave
Fresno, CA 93706-3762
Phone
(559) 321-1309
NPI assigned
Feb 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Valette FarwellNPI 1225539836
Title
Director
Phone
(559) 321-1309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

916 Waterman Ave
Fresno, CA 93706-3762

Mailing address

PO Box 2631
Fresno, CA 93745-2631
Phone (559) 321-1309

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1962724120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2631",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937452631",
            "telephone_number": "559-321-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WATERMAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063762",
            "telephone_number": "559-321-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "FARWELL",
        "authorized_official_first_name": "VALETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-321-1309"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 24, 2015; 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.