# CLOVIS COMMUNITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
- **Other names:** Clovis Community EKG
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235303306
- **Legal business name:** FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
- **Authorized official:** MR. CRAIG ALLEN WAGONER (CEO)
- **Authorized official phone:** (559) 324-4266

## Contact information

- **Practice address:** 2755 HERNDON AVE, CLOVIS, CA 93611-6800
- **Practice address phone:** (559) 459-1672
- **Practice address fax:** (559) 459-1058
- **Mailing address:** 2755 HERNDON AVE, CLOVIS, CA 93611-6800
- **Mailing address phone:** (559) 459-1672
- **Mailing address fax:** (559) 459-1058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 040000004 | CA | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 06/24/2025