Organization · Type 2 NPI

County of Tulare

Prison Health Clinic/Center · Porterville, CA

NPI number 1114731312 Active

Practice location

1960 W Scranton Ave
Porterville, CA 93257-9358

Call (559) 624-8480 Map

Mailing address

5957 S Mooney Blvd
Visalia, CA 93277-9394

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency	251K00000X	None listed
Clinic/Center	261Q00000X	None listed
Prison Health Clinic/Center Primary	261QP2400X	None listed

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

NPI record

NPI: 1114731312
Entity type: Organization (Type 2)
Issued: Feb 6, 2025
Last updated: Feb 6, 2025
Status: Active
Subpart: Yes of County of Tulare

Other names

Tulare County Health & Human Services Agency · other name

Authorized official

Staci Chastain
Deputy HHS Director, PH Operations
(559) 624-8480

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.

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About NPI 1114731312

County of Tulare's National Provider Identifier is 1114731312, issued on Feb 6, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Porterville, CA. The record was last updated on Feb 6, 2025.