MADERA COMMUNITY HOSPITAL (NPI# 1881232676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881232676 |
Entity Type | Organization |
Organization Name | MADERA COMMUNITY HOSPITAL |
Practice Address |
121 Belmont Ave., Suite 101 Mendota CA 93640 |
Mailing Address |
1250 E Almond Ave Madera CA 93637-5696 |
Practice Telephone | 5596755505 |
Practice Fax Number | 5596755509 |
Mailing Telephone | 5596755505 |
Mailing Fax Number | 5596755509 |
Enumeration Date | 2019-12-12 |
Last Update Date | 2019-12-12 |
Authorized Official Name | MR. MARK JAMES FOOTE (VP-FINANCE/CFO) |
Authorized Official Telephone | 5596755505 |
Is Organization Subpart | Y |
Parent Organization Name | MADERA COMMUNITY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Family Health Services - Mendota | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922281708 | Madera Community Hospital | General Acute Care Hospital | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-12-14 |
1013190891 | Madera Community Hospital | Clinic/Center | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-12-14 |
1255514030 | Madera Community Hospital | General Acute Care Hospital | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-12-14 |
1720286750 | Madera Community Hospital | Clinic/Center | 285 Hospital Dr, Chowchilla, CA 93610-2041 | 2007-07-11 |
1669673646 | Madera Community Hospital | General Acute Care Hospital | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-05-29 |
1295868529 | Madera Community Hospital | Clinic/Center | 1210 E Almond Ave, Madera, CA 93637-5606 | 2007-03-14 |
1174503114 | Madera Community Hospital | Clinic/Center | 1210 E Almond Ave, Madera, CA 93637-5606 | 2006-01-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MADERA COMMUNITY HOSPITAL FOUNDATION | 1250 E Almond Ave, Madera, CA 93637-5606 |
Street Address |
121 BELMONT AVE., SUITE 101 |
City | MENDOTA |
State | CA |
Zip Code | 93640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285243782 | Turning Point of Central California, Inc. | Community/Behavioral Health | 121 Belmont Ave. Ste 300, Mendota, CA 93640 | 2020-07-30 |
1912465626 | Gayathri Parameswaran Iyer | Dentist | United Health Centers, 121 Barboza St, Mendota, CA 93640 | 2019-03-12 |
1801372594 | Fresno County Superintendent of Schools | Psychologist | 121 Belmont Avenue, Mendota, CA 93640 | 2018-07-16 |
1730488180 | Promesa Behavioral Health | Community/Behavioral Health | 1258 E. Belmont Avenue, Mendota, CA 93640 | 2011-03-24 |
1689809097 | Fresno County Behavioral Health | Clinic/Center | 121 Barbosa St., Mendota, CA 93640 | 2009-05-29 |
1588622542 | James Earl Smurr | Family Medicine | 121 Barboza St, Mendota, CA 93640 | 2006-05-01 |
1184606634 | United Health Centers of The San Joaquin Valley | Clinic/Center | 121 Barboza St, Mendota, CA 93640-1901 | 2005-11-18 |
1497377048 | Brandon Wong | Physician Assistant | 121 Barboza St, Mendota, CA 93640-1901 | 2020-05-16 |
1326604364 | Karen Ashley Merriweather | Dentist | 121 Barboza St, Mendota, CA 93640-1901 | 2019-05-15 |
1184148744 | Joanna Fabris | Family Medicine | 121 Barboza St, Mendota, CA 93640-1901 | 2017-07-26 |
Find all providers in zip 93640 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
1316320849 | Mendota Community Hospital | Clinic/Center | 1405 E 12th St, Mendota, IL 61342-9010 | 2015-07-01 |
1225252869 | Firebaugh, Mendota Health Clinics, Inc | Clinic/Center | 507 Oller St, Mendota, CA 93640-2360 | 2007-04-13 |
1881730661 | Westside Medical Group of Mendota Inc. | Clinic/Center | 450 Oller St, Suite#101, Mendota, CA 93640-2313 | 2007-01-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.