# MEDMARK1

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** same
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316261373
- **Authorized official:** MRS. CAROL LYNN RIVAS (COUNSELOR)
- **Authorized official phone:** (559) 264-2700

## Contact information

- **Practice address:** 1310 M ST, SAME, FRESNO, CA 93721-1808
- **Practice address phone:** (559) 264-2700
- **Mailing address:** 1310 M ST, SAME, FRESNO, CA 93721-1808
- **Mailing address phone:** (559) 264-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | B3084739 | CA | Yes |

## Other

- **Enumeration date:** 03/19/2010
- **Last updated:** 03/19/2010