OrganizationHanford Community Medical Center(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address1524 W Lacey Blvd, Suite 101 - 202, Hanford, CA 93230-5965(559) 583-4697(559) 583-4500PECOS EnrollmentBased on the most recent information from CMS, provider Hanford Community Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1891720199Provider TypeOrganizationFull NameHanford Community Medical CenterOther Name<Unavail>SubpartNoEnumeration Date7/12/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address1524 W Lacey Blvd, Suite 101 - 202, Hanford, CA 93230-5965Phone(559) 583-4697Fax(559) 583-4600Mailing LocationMailing Address1524 W Lacey Blvd, Suite 205, Hanford, CA 93230-5965Phone(559) 583-4500Fax(559) 583-4600Authorized OfficialNameMckague, Kirby (Chief Financial Officer)Phone(559) 585-5588Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDZZT40121FDescriptionMedicaidIssuerUnlistedCalifornia