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Organization
COMMUNITY FOUNDATION MEDICAL GROUP
Active
Organization
COMMUNITY FOUNDATION MEDICAL GROUP
Active
Parent organization
COMMUNITY FOUNDATION MEDICAL GROUP
Other names
Sante' Foundation Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY FOUNDATION MEDICAL GROUP
Authorized official
MR. SCOTT WELLS (CEO/PRESIDENT)
(559) 228-5429
Entity
Organization
Contact information
Practice address
1270 E SPRUCE AVE, FRESNO, CA 93720-3312
(559) 256-5200
Mailing address
PO BOX 28949, FRESNO, CA 93729-8949
(559) 228-5400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
03/01/2021
Last updated
02/14/2022
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