North Fine Community Health Center | |
1945 N Fine Ave Ste 100 Fresno CA 93727-1528 | |
(559) 457-5650 | |
(559) 457-5695 |
Full Name | North Fine Community Health Center |
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Speciality | Clinic/Center |
Location | 1945 N Fine Ave Ste 100, Fresno, California |
Authorized Official Name and Position | Olga Meave (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6616353050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Fine Community Health Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | North Fine Community Health Center 1945 N Fine Ave Ste 100 Fresno CA 93727-1528 Ph: (559) 457-5650 |
NPI Number | 1720347149 |
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Provider Enumeration Date | 05/04/2012 |
Last Update Date | 02/09/2024 |
Certification Date | 02/09/2024 |
Medicare PECOS PAC ID | 3870407505 |
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Medicare Enrollment ID | O20140116001085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720347149 | NPI | - | NPPES |
550002258 | Other | CA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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