Greater Fresno Health Organization, Inc.
NPI 1265521488ActiveOrganization· Exclusive Provider Organization· Fresno, CA
Exclusive Provider Organization in Fresno, California, registered in NPPES in October 2006. The authorized official on file is Bla Mouanoutoua, Ceo. Enrolled in Medicare as part a provider - federally qualified health center (fqhc) and part b supplier - clinic/group practice.
Overview
| NPI | 1265521488 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 04000036 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Federally Qualified Health Center (FQHC) (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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