Provider Demographics
NPI:1437220001
Name:FIRST HEALTH MEDICAL CENTER OF FRESNO INC
Entity Type:Organization
Organization Name:FIRST HEALTH MEDICAL CENTER OF FRESNO INC
Other - Org Name:FIRST HEALTH MEDICAL CENTER OF FRESNO INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-227-2273
Mailing Address - Street 1:7161 N HOWARD STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720
Mailing Address - Country:US
Mailing Address - Phone:559-227-2273
Mailing Address - Fax:559-229-8366
Practice Address - Street 1:7161 N HOWARD STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720
Practice Address - Country:US
Practice Address - Phone:559-227-2273
Practice Address - Fax:559-229-8366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty