| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 12/16/2020 |
| Medicare PECOS PAC ID | 8729325907 |
|---|---|
| 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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