MADERA COMMUNITY HOSPITAL (NPI# 1174503114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174503114 |
| Entity Type | Organization |
| Organization Name | MADERA COMMUNITY HOSPITAL |
| Other Organization Name | FAMILY HEALTH SERVICES RURAL HEALTH CLINIC |
| Practice Address |
1210 E Almond Ave Madera CA 93637-5606 |
| Mailing Address |
1250 E Almond Ave Madera CA 93637-5606 |
| Practice Telephone | 5596755530 |
| Practice Fax Number | 5596755532 |
| Mailing Telephone | 5596755555 |
| Mailing Fax Number | 5596755509 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | MR. MARK JAMES FOOTE (VP-FINANCE/CFO) |
| Authorized Official Telephone | 5596755505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
040000191 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM13990F | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Services Rural Health Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1922281708 | Madera Community Hospital | General Acute Care Hospital | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-12-14 |
| 1013190891 | Madera Community Hospital | Clinic/Center | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-12-14 |
| 1255514030 | Madera Community Hospital | General Acute Care Hospital | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-12-14 |
| 1720286750 | Madera Community Hospital | Clinic/Center | 285 Hospital Dr, Chowchilla, CA 93610-2041 | 2007-07-11 |
| 1669673646 | Madera Community Hospital | General Acute Care Hospital | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-05-29 |
| 1295868529 | Madera Community Hospital | Clinic/Center | 1210 E Almond Ave, Madera, CA 93637-5606 | 2007-03-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MADERA COMMUNITY HOSPITAL FOUNDATION | 1250 E Almond Ave, Madera, CA 93637-5606 |
| Street Address |
1210 E ALMOND AVE |
| City | MADERA |
| State | CA |
| Zip Code | 93637-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243803 | Karl J. Brunn | Chiropractor | 1210 E Almond Ave, Madera, CA 93637-5606 | 2005-08-31 |
| 1336768522 | Mayra Negrete | Nurse Practitioner | 1210 E Almond Ave, Madera, CA 93637-5606 | 2020-04-08 |
| 1033461678 | Madera Family Health Services | General Acute Care Hospital | 1210 E Almond Ave, Madera, CA 93637-5606 | 2012-10-05 |
| 1528319241 | Madera Family Health Services | General Acute Care Hospital | 1210 E Almond Ave, Madera, CA 93637-5606 | 2012-09-20 |
| 1023366515 | Eliezer Alvarez | Physician Assistant | 1210 E Almond Ave, Madera, CA 93637-5606 | 2012-08-15 |
| 1174891550 | Sophie Haiming Tang | Nurse Practitioner | 1210 E Almond Ave, Madera, CA 93637-5606 | 2011-12-13 |
| 1285922898 | Jaswinder Sra | Physician Assistant | 1210 E Almond Ave, Madera, CA 93637-5606 | 2011-07-17 |
| 1831406990 | Lisa Hood | Nurse Practitioner | 1210 E Almond Ave, Madera, CA 93637-5606 | 2010-09-09 |
| 1558674069 | Asako Yanagihara Shin | Nurse Practitioner | 1210 E Almond Ave, Madera, CA 93637-5605 | 2010-07-26 |
| 1124359179 | Geeta Ramesh | Family Medicine | 1210 E Almond Ave, Madera, CA 93637-5606 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
| 1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
| 1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
| 1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
| 1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
| 1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
| 1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
| Find all providers in zip 93637 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720459514 | Reedley Community Hospital | Clinic/Center | 11976 Road 37, Madera, CA 93636-8612 | 2015-10-19 |
| 1801041066 | Madera Medical Associates, Inc | Clinic/Center | 1050 E Almond Ave, Madera, CA 93637-5698 | 2008-12-01 |
| 1013190891 | Madera Community Hospital | Clinic/Center | 1250 E Almond Ave, Madera, CA 93637-5606 | 2007-12-14 |
| 1063573962 | Valley Children's Hospital | Clinic/Center | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.