Healthcare Provider Details

I. General information

NPI: 1568135994
Provider Name (Legal Business Name): COMMUNITY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 07/30/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

789 MEDICAL CENTER DRIVE EAST
CLOVIS CA
93611
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-6000
  • Fax: 559-459-5097
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK RAMIREZ
Title or Position: CEO
Credential:
Phone: 559-324-4952