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Organization
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Active
Organization
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Active
Parent organization
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Other names
Community Oral Maxillofacial OP Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Authorized official
CRAIG ALLEN WAGONER (CEO)
(559) 324-4266
Entity
Organization
Contact information
Practice address
215 N FRESNO ST STE 490, FRESNO, CA 93701-2363
(559) 459-6927
(559) 459-6947
Mailing address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-5088
(559) 459-6914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G90077-01
MEDICAL
CA
Enumeration date
03/06/2007
Last updated
01/28/2026
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