# CENTRAL CALIFORNIA ASTHMA COLLABORATIVE

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

## Provider details

- **NPI number:** 1588079545
- **Authorized official:** TIM TYNER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (559) 272-4874

## Contact information

- **Practice address:** 1939 N GATEWAY BLVD, SUITE 103, FRESNO, CA 93727
- **Practice address phone:** (559) 272-4874
- **Practice address fax:** (559) 492-3802
- **Mailing address:** 1939 N GATEWAY BLVD, SUITE 103, FRESNO, CA 93727
- **Mailing address phone:** (559) 272-4874
- **Mailing address fax:** (559) 492-3802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | CA | Yes |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 08/21/2024