Organization Name: | SEQUOIA COMMUNITY HEALTH FOUNDATION, INC |
NPI Number: | 1003943473 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN L MAFFEO (CEO) |
Mailing Address: | 302 Fresno St Ste 102 Fresno |
State: | CA US |
Postal Code: | 937063600 |
Phone Number: | 5594575700 |
Fax Number: | 5594575790 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |