Healthcare Provider Details

I. General information

NPI: 1548075906
Provider Name (Legal Business Name): 1HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2665 COMMONWOOD LN
CLOVIS CA
93619-7954
US

IV. Provider business mailing address

PO BOX 26881
FRESNO CA
93729-6881
US

V. Phone/Fax

Practice location:
  • Phone: 559-321-7833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: TAELOR ANN SHWEIKI
Title or Position: RA
Credential: MPH
Phone: 415-879-6762