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CLOVIS COMMUNITY MEDICAL CENTER
NPI 1235303306
General Acute Care Hospital in Clovis, CA

Active since April 18, 2008CLIA 05D0588371 · Accreditation
2755 HERNDON AVE, CLOVIS, CA 93611(559) 459-1672(559) 459-1058 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Feb 24, 2022, Jul 28, 2020 and 1 more (4 updates tracked since 2016).

About Clovis Community Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVIS COMMUNITY MEDICAL CENTER (NPI 1235303306) is a healthcare organization registered as a general acute care hospital in Clovis, California and active in the NPI registry since April 2008. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Craig Allen Wagoner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235303306
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameCLOVIS COMMUNITY MEDICAL CENTER
Location Address2755 HERNDON AVEClovis, CA 93611-6800
Mailing Address2755 Herndon AveClovis, CA 93611-6800 · (559) 459-1672 · Fax (559) 459-1058
Phone(559) 459-1672
Fax(559) 459-1058
Organization SubpartYesParent: Fresno Community Hospital And Medical Center
Authorized OfficialCraig Allen WagonerCeo · (559) 324-4266
Enumeration DateApril 18, 2008
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1235303306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 040000004
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

2755 HERNDON AVE, Clovis, CA 93611
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Other Names 1

Other NameClovis Community Ekg

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0588371

Clovis Community Medical Center · Clovis, CA
Active · expires Feb 27, 2027
CLIA Number05D0588371
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Stevan R. Knezevich
Laboratory Phone(559) 324-3758
Laboratory LocationClovis Community Medical Center2755 Herndon Ave Clinical Lab-Ccmc, Clovis, CA 93611
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA ALYSE KEY PHARMD
Pharmacist
2755 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 324-4000
MRS. NILOOFAR R NAVAIE CRNA
Nurse Anesthetist, Certified Registered
2755 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 324-4000
DENIZ BAYSAL MD INC
General Acute Care Hospital
2755 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 324-4000
JANE MARGUERITE JOHNSON FNP
Nurse Practitioner (Family)
2755 HERNDON AVE, CLOVIS COMMUNITY MEDICAL CENTER
CLOVIS, CA 93611
Fresno County (559) 638-2252
ABBY JEAN JACOBS NP
Nurse Practitioner
2755 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 603-7300
TYLER FALLERT
Pharmacist
2755 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 310-4621
EDWIN YAMOAH
Anesthesiology
2755 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 324-4000
EMILEE COOK SLP
Speech-Language Pathologist
2755 HERNDON AVE
CLOVIS, CA 93611
Fresno County (801) 830-9897

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clovis Community Medical Center's NPI number?

The NPI number for Clovis Community Medical Center is 1235303306. It was assigned to this organization in the NPPES registry on April 18, 2008. The provider is also known as Clovis Community EKG.

Where is Clovis Community Medical Center located?

Clovis Community Medical Center is located at 2755 Herndon Ave, Clovis, CA 93611. The listed phone number is (559) 459-1672.

What is Clovis Community Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Clovis Community Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0588371) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clovis Community Medical Center was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.