| Organization Name: | MADERA COMMUNITY HEALTH CENTER, INC. |
| NPI Number: | 1043440423 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOHAILA MOJADADDI (PRESIDENT) |
| Mailing Address: | 812 W Yosemite Ave Suite 102 Madera |
| State: | CA US |
| Postal Code: | 936374588 |
| Phone Number: | 5596643265 |
| Fax Number: | 5596649487 |
| NPI Enumeration Date: | 07/21/2009 |
| NPI Last Update Date: | 12/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |