| Greater Fresno Health Organization Inc. | |
|
4011 N Marks Ave Fresno CA 93722-4555 | |
| (559) 860-4925 | |
| Not Available |
| Full Name | Greater Fresno Health Organization Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4011 N Marks Ave, Fresno, California |
| Authorized Official Name and Position | Bla Mouanoutoua (CEO) |
| Authorized Official Contact | 5592556476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Fresno Health Organization Inc. 4011 N Marks Ave Fresno CA 93722-4555 Ph: (559) 860-4925 | Greater Fresno Health Organization Inc. 4011 N Marks Ave Fresno CA 93722-4555 Ph: (559) 860-4925 |
| NPI Number | 1184049793 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 2860523990 |
|---|---|
| Medicare Enrollment ID | O20140828001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184049793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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