KAWEAH DELTA HEALTH CARE DISTRICT NPI 1174130942

NPI Information

NPI: 1174130942
Provider Name: KAWEAH DELTA HEALTH CARE DISTRICT

Doing Business As: KAWEAH HEALTH TULARE CLINIC

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

Specialization: Rural Health

Address:
1000 N MOONEY BLVD
TULARE, CA
ZIP 93274
Phone: (559) 624-2000
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KAWEAH DELTA HEALTH CARE DISTRICT is a rural health clinic center in Tulare, CA. KAWEAH DELTA HEALTH CARE DISTRICT NPI is 1174130942. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaweah Health Tulare Clinic.

The provider's business location address is:

1000 N MOONEY BLVD
TULARE, CA
ZIP 93274-417
Phone: (559) 624-2000

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

The CLIA number assigned to this NPI record is 05D2213382 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2020 and was last updated on 6/17/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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