Organization
CENTRAL VALLEY HEALTH PLAN, INC.
Active
Parent organization
SAINT AGNES MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT AGNES MEDICAL CENTER
Authorized official
MICHAEL V PRUSAITIS (CEO)
(559) 450-3375
Entity
Organization
Contact information
Practice address
1303 EAST HERNDON AVENUE, MAIL STOP 500, FRESNO, CA 93720
(559) 450-3000
(559) 450-5585
Mailing address
1303 EAST HERNDON AVENUE, MAIL STOP 500, FRESNO, CA 93720
(559) 450-3000
(559) 450-5585
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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