Organization
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Active
Parent organization
COMMUNITY REGIONAL MEDICAL CENTER
Other names
Community Dialysis Home Program CAPD
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY REGIONAL MEDICAL CENTER
Authorized official
MR. CRAIG ALLEN WAGONER (CEO)
(559) 324-4266
Entity
Organization
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-1672
(559) 459-1058
Mailing address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-1672
(559) 459-1058
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
040000096
CA
Other
Enumeration date
10/20/2006
Last updated
08/21/2025
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