Organization · Type 2 NPI

Kaweah Delta Health Care District

Rural Health Clinic/Center · Exeter, CA

NPI number 1043272172 Active

Practice location

1014 San Juan Ave
Exeter, CA 93221-1312

Call (559) 624-2000 Map

Fax (559) 713-2356

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Supports Brokerage Agency	251X00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	120000580 (CA)

Rural Health Clinic/Center: Definition to come...

17 other providers at this address

NPI record

NPI: 1043272172
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Apr 20, 2022
Status: Active
Subpart: Yes of Kaweah Delta Health Care District

Other names

<unavail>
Kaweah Health Exeter Clinic · doing business as

Authorized official

Malinda Tupper
Srvp/chief Financial Officer
(559) 624-4065

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1043272172

Kaweah Delta Health Care District's National Provider Identifier is 1043272172, issued on Apr 4, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Exeter, CA. The record was last updated on Apr 20, 2022.