Healthcare Provider Details

I. General information

NPI: 1790290617
Provider Name (Legal Business Name): HANFORD COMMUNITY MEDICAL CENTER - NAVY RESOURCE SHARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 12/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 GREENFIELD AVE
HANFORD CA
93230-3513
US

IV. Provider business mailing address

937 FRANKLIN BLVD
LEMOORE CA
93246-4700
US

V. Phone/Fax

Practice location:
  • Phone: 559-998-4982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM M CONDON
Title or Position: BUMED UBO
Credential:
Phone: 240-401-3643