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KAWEAH DELTA HEALTH CARE DISTRICT NPI 1043272172


NPI Information

NPI: 1043272172
Provider Name: KAWEAH DELTA HEALTH CARE DISTRICT

Doing Business As: KAWEAH HEALTH EXETER CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 05D0929823

Address:
1014 SAN JUAN AVE
EXETER, CA
ZIP 93221
Phone: (559) 624-2000
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KAWEAH DELTA HEALTH CARE DISTRICT is a rural health clinic center in Exeter, CA. KAWEAH DELTA HEALTH CARE DISTRICT NPI is 1043272172. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaweah Health Exeter Clinic.

The provider's business location address is:

1014 SAN JUAN AVE
EXETER, CA
ZIP 93221-312
Phone: (559) 624-2000
Fax: (559) 713-2356

The provider's authorized official is Malinda Tupper .
The authorized official title is Srvp/chief Financial Officer and has the following contact phone number (559) 624-4065.

The CLIA number assigned to this NPI record is 05D0929823 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/4/2006 and was last updated on 4/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251X00000XSupports BrokerageNo
2171M00000XCase Manager/Care CoordinatorNo
3261QR1300XClinic/CenterRural Health120000580CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RHM18508GMEDICAIDCALIFORNIA
2HAP18508GMEDICAIDCALIFORNIA
3ZZZ54779ZOTHERCALIFORNIABLUE SHIELD
4BCP18508GMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.