Organization · Type 2 NPI

Kaweah Delta Health Care District

Rural Health Clinic/Center · Woodlake, CA

NPI number 1154614097 Active

Practice location

180 E Antelope Ave
Woodlake, CA 93286-1506

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...

5 other providers at this address

United Health Organizations, Inc.Rural Health Clinic/Center Woodlake, CA NPI 1396873618
Deborah J. Bird, N.P.Family Nurse Practitioner Woodlake, CA NPI 1396863510
Lizette Guadalupe Castillo AlvarezPhysician Assistant Woodlake, CA NPI 1326993486
Marlyn Serralde, LCSWClinical Social Worker Woodlake, CA NPI 1831968445
Rocio Medina, MDInternal Medicine Physician Woodlake, CA NPI 1235338948

Other rural health clinic/center providers in Woodlake

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NPI record

NPI: 1154614097
Entity type: Organization (Type 2)
Issued: May 25, 2011
Last updated: Apr 20, 2022
Status: Active
Subpart: Yes of Kaweah Delta Health Care District

Other names

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Kaweah Health Woodlake 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.

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About NPI 1154614097

Kaweah Delta Health Care District's National Provider Identifier is 1154614097, issued on May 25, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Woodlake, CA. The record was last updated on Apr 20, 2022.