Provider Demographics
NPI:1881335701
Name:WEST FRESNO HEALTH CARE COALITION
Entity type:Organization
Organization Name:WEST FRESNO HEALTH CARE COALITION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:SUZETTE
Authorized Official - Last Name:RANDLES
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:559-374-5750
Mailing Address - Street 1:700 VAN NESS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-2931
Mailing Address - Country:US
Mailing Address - Phone:559-374-5750
Mailing Address - Fax:
Practice Address - Street 1:700 VAN NESS AVE STE 201
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2931
Practice Address - Country:US
Practice Address - Phone:559-374-5750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No385H00000XRespite Care FacilityRespite Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services