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Organization

COUNTY OF FRESNO

Active
Other names
Department of Public Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID POMAVILLE M.B.A., R.E.H.S. (DIRECTOR)
(559) 600-3200
Entity
Organization

Contact information

Practice address
1221 FULTON MALL, PUBLIC HEALTH CLINICS, 1ST FLOOR, FRESNO, CA 93721-1915
(559) 600-3200
(559) 600-7687
Mailing address
PO BOX 11867, COMMUNITY HEALTH DIV - 5TH FLOOR, FRESNO, CA 93775-1867
(559) 600-3200
(559) 600-7687

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CMM70293F
MEDI-CAL
CA
Enumeration date
10/23/2006
Last updated
05/15/2014
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