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Organization
CENTRAL VALLEY HEALTH PLAN, INC.
Active
Organization
CENTRAL VALLEY HEALTH PLAN, INC.
Active
Parent organization
SAINT AGNES MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT AGNES MEDICAL CENTER
Authorized official
MICHAEL V PRUSAITIS (CEO)
(559) 450-3375
Entity
Organization
Contact information
Practice address
1303 EAST HERNDON AVENUE, MAIL STOP 500, FRESNO, CA 93720
(559) 450-3000
(559) 450-5585
Mailing address
1303 EAST HERNDON AVENUE, MAIL STOP 500, FRESNO, CA 93720
(559) 450-3000
(559) 450-5585
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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