Healthcare Provider Details

I. General information

NPI: 1164403044
Provider Name (Legal Business Name): FRESNO COUNTY EOC HEALTH SERVICES CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1047 R ST
FRESNO CA
93721-1312
US

IV. Provider business mailing address

1047 R ST
FRESNO CA
93721-1312
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-1690
  • Fax: 559-499-1697
Mailing address:
  • Phone: 559-499-1690
  • Fax: 559-499-1697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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
# 4
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberG 32293
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID WILLIAM DOWIS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 559-499-1690