KAWEAH DELTA HEALTH CARE DISTRICT NPI 1154614097

NPI Information

KAWEAH DELTA HEALTH CARE DISTRICT is a rural health clinic center in Woodlake, CA. KAWEAH DELTA HEALTH CARE DISTRICT NPI is 1154614097. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kaweah Health Woodlake Clinic.

The provider's business location address is:

180 E ANTELOPE AVE
WOODLAKE, CA
ZIP 93286-506
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 05D2036144 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2011 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:

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