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Organization
FRESNO KINGS MADERA REGIONAL HEALTH AUTHORITY
Active
Organization
FRESNO KINGS MADERA REGIONAL HEALTH AUTHORITY
Active
Other names
CalViva Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GREGOR (CHIEF FINANCIAL OFFICER)
(559) 445-8732
Entity
Organization
Contact information
Practice address
1315 VAN NESS AVE, SUITE 103, FRESNO, CA 93721-1727
(559) 445-8735
Mailing address
1315 VAN NESS AVE, SUITE 103, FRESNO, CA 93721-1727
(559) 445-8735
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
933-0484
CA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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