| West Shaw Community Health Center | |
|
3645 W Shaw Ave Ste 101 Fresno CA 93711-3206 | |
| (559) 457-6800 | |
| (559) 457-6890 |
| Full Name | West Shaw Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3645 W Shaw Ave Ste 101, 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 |
|---|---|
| West Shaw Community Health Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | West Shaw Community Health Center 3645 W Shaw Ave Ste 101 Fresno CA 93711-3206 Ph: (559) 457-6800 |
| NPI Number | 1033486048 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 3870407505 |
|---|---|
| Medicare Enrollment ID | O20121018000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033486048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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