Organization
SAINT AGNES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANNIE CHECKETTS (CFO WEST REGION)
(208) 367-2844
Entity
Organization
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3000
(559) 450-3990
Mailing address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3000
(559) 450-3990
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
40000173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00093F
—
CA
05
—
HSP40093F
—
CA
05
—
ZZR00093F
—
CA
01
—
ZZZ92647Z
MEDICARE PART B
CA
Enumeration date
08/05/2006
Last updated
06/16/2025
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