Organization
VALLEY CHILDREN'S HOSPITAL
Active
Organization
VALLEY CHILDREN'S HOSPITAL
Active
Other names
Valley Children's Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MYCROFT (SENIOR VP & CFO)
(559) 353-7238
Entity
Organization
Contact information
Practice address
5085 E MCKINLEY AVE, FRESNO, CA 93727-1964
(559) 353-7125
(559) 353-7461
Mailing address
5085 E MCKINLEY AVE, FRESNO, CA 93727-1964
(559) 353-7125
(559) 353-7460
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY44810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00-3882
BLUE CROSS PROVIDER
CA
05
—
PHA4481000
—
CA
Enumeration date
11/04/2006
Last updated
01/14/2025
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