| Central Fresno Community Health Center | |
|
4711 W Ashlan Ave Fresno CA 93722 | |
| (559) 693-2462 | |
| (559) 892-0322 |
| Full Name | Central Fresno Community Health Center |
|---|---|
| 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 | Practice Location Address |
|---|---|
| Central Fresno Community Health Center Po Box 737 San Joaquin CA 93660-0737 Ph: (559) 693-2462 | Central Fresno Community Health Center 4711 W Ashlan Ave Fresno CA 93722 Ph: (559) 693-2462 |
| NPI Number | 1992183669 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 07/27/2019 |
| Medicare PECOS PAC ID | 2365588902 |
|---|---|
| Medicare Enrollment ID | O20171228001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992183669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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