<unavail> in Fresno, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fresno, California. The current practice location for is 4711 W Ashlan Ave, Fresno, California. For appointments, you can reach them via phone at (559) 693-2462. The mailing address for is Po Box 737, San Joaquin, California and phone number is (559) 693-2462.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992183669. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (559) 693-2462.

Contact Information


	4711 W Ashlan Ave Fresno CA 93722
	(559) 693-2462
	(559) 892-0322

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4711 W Ashlan Ave, Fresno, California
Authorized Official Name and Position	Soyla R Griffin (CEO)
Authorized Official Contact	5596932462
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 737 San Joaquin CA 93660-0737 Ph: (559) 693-2462	4711 W Ashlan Ave Fresno CA 93722 Ph: (559) 693-2462

NPI Details:

NPI Number	1992183669
Provider Enumeration Date	05/13/2015
Last Update Date	07/27/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	2365588902
Medicare Enrollment ID	O20171228001476

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992183669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Fresno, CA

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- Medicare Primary Care in Fresno, CA