MEDICARE: CALIFORNIA HEALTH COLLABORATIVE FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171W00000X	Contractor
2	251S00000X	Community/Behavioral Health Agency
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1780963140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA HEALTH COLLABORATIVE FOUNDATION

Provider Business Mailing Address
First Line	:	1680 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	559-221-6315
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	559-221-6315
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. STEPHEN RAMIREZ
Credential	:
Telephone Number	:	559-244-4524

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	04/03/2024

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Directions to “CALIFORNIA HEALTH COLLABORATIVE FOUNDATION ” Practice Location

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