Organization
SEQUOIA COMMUNITY HEALTH FOUNDATION INC
Active
Other names
SEQUOIA COMMUNITY HEALTH CENTERS - DIV/WHC
Organization subpart
No
Provider details
NPI number
Authorized official
SYBILLE M WAIYAKI (CHIEF FINANCIAL OFFICER)
(559) 457-5837
Entity
Organization
Contact information
Practice address
145 N CLARK ST, FRESNO, CA 93701-2108
(559) 457-5919
(559) 457-5993
Mailing address
1945 N FINE AVE, STE 116, FRESNO, CA 93727-1528
(559) 457-5835
(559) 457-5892
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP71152F
—
CA
Enumeration date
08/09/2007
Last updated
01/18/2008
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