# FRESNO KINGS MADERA REGIONAL HEALTH AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CalViva Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982972469
- **Authorized official:** MR. WILLIAM GREGOR (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (559) 445-8732

## Contact information

- **Practice address:** 1315 VAN NESS AVE, SUITE 103, FRESNO, CA 93721-1727
- **Practice address phone:** (559) 445-8735
- **Mailing address:** 1315 VAN NESS AVE, SUITE 103, FRESNO, CA 93721-1727
- **Mailing address phone:** (559) 445-8735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 933-0484 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 12/12/2011