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Organization
CENTRAL CALIFORNIA ASTHMA COLLABORATIVE
Active
Organization
CENTRAL CALIFORNIA ASTHMA COLLABORATIVE
Active
Other names
CCAC
Organization subpart
No
Provider details
NPI number
Authorized official
TIM TYNER (EXECUTIVE DIRECTOR)
(559) 272-4874
Entity
Organization
Contact information
Practice address
1939 N GATEWAY BLVD, SUITE 103, FRESNO, CA 93727
(559) 272-4874
(559) 492-3802
Mailing address
1939 N GATEWAY BLVD, SUITE 103, FRESNO, CA 93727
(559) 272-4874
(559) 492-3802
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
CA
Other
Enumeration date
06/27/2014
Last updated
08/21/2024
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