Fresno American Indian Health Project | |
1551 E Shaw Ave Ste 128&139 Fresno CA 93710-8024 | |
(559) 320-0490 | |
(559) 320-0494 |
Full Name | Fresno American Indian Health Project |
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Speciality | Clinic/Center |
Location | 1551 E Shaw Ave Ste 128&139, Fresno, California |
Authorized Official Name and Position | Selina Delapena (CEO) |
Authorized Official Contact | 5593200490 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fresno American Indian Health Project 1551 E Shaw Ave Suite 139 Fresno CA 93710-8025 Ph: (559) 320-0490 | Fresno American Indian Health Project 1551 E Shaw Ave Ste 128&139 Fresno CA 93710-8024 Ph: (559) 320-0490 |
NPI Number | 1427317981 |
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Provider Enumeration Date | 05/03/2012 |
Last Update Date | 12/16/2020 |
Medicare PECOS PAC ID | 8729325907 |
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Medicare Enrollment ID | O20190125001072 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427317981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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