MEDICARE: COUNTY OF FRESNO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MFC37536	CA

General Provider Information

NPI Number	:	1104988575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF FRESNO

Provider Business Mailing Address
First Line	:	2025 E DAKOTA AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-4804
Country	:	US
Telephone Number	:	559-453-5755
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 E DAKOTA AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-4804
Country	:	US
Telephone Number	:	559-453-5755
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GIANG NGUYEN
Credential	:	RN
Telephone Number	:	559-453-4099

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1780379214 — FRESNO RESCUE MISSION
Practice Location Address:

2025 E DAKOTA AVE
FRESNO, CA
93726-4804

Practice Phone: 559-268-0839
Practice Fax:

1942305826 — DR. MICHELLE RENEE LEVALLEY PH.D.
Practice Location Address:

2085 E DAKOTA AVE
FRESNO, CA
93726-4804

Practice Phone: 559-600-1500
Practice Fax: 559-455-4641

1851468201 — MR. TREVOR DALE BIRKHOLZ M.S., MDIV., LMFT
Practice Location Address:

2025 E DAKOTA AVE STE 230
FRESNO, CA
93726-4804

Practice Phone: 559-600-7142
Practice Fax:

1992864193 — COUNTY OF FRESNO DEPARTMENT OF BEHAVIORAL HEALTH
Practice Location Address:

2025 E DAKOTA AVE , SUITE 230
FRESNO, CA
93726-4804

Practice Phone: 559-453-5755
Practice Fax: 559-453-4736

1649331851 — RANDALL WRIGHT
Practice Location Address:

2025 E DAKOTA AVE
FRESNO, CA
93726-4804

Practice Phone: 559-600-5755
Practice Fax:

1518028406 — MR. KEE LEE I
Practice Location Address:

2085 E DAKOTA AVE
FRESNO, CA
93726-4804

Practice Phone: 559-600-1500
Practice Fax: 559-455-4641

Directions to “COUNTY OF FRESNO ” Practice Location

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