Healthcare Provider Details

I. General information

NPI: 1003511296
Provider Name (Legal Business Name): COMMUNITY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6107 N FRESNO ST STE 103
FRESNO CA
93710-8609
US

IV. Provider business mailing address

789 MEDICAL CENTER DRIVE EAST
CLOVIS CA
93611
US

V. Phone/Fax

Practice location:
  • Phone: 559-603-7700
  • Fax: 559-603-7218
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERIE ARCHIE
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 559-451-3675