Organization · Type 2 NPI

Kaweah Delta Health Care District

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Visalia, CA

NPI number 1245291558 Active

Practice location

5040 W Tulare Ave
Visalia, CA 93277-1593

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
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	240000787 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1245291558
Entity type: Organization (Type 2)
Issued: Mar 29, 2006
Last updated: Mar 7, 2023
Status: Active
Subpart: Yes of Kaweah Delta Health Care District

Other names

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Kaweah Health Dialysis Center · doing business as

Authorized official

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

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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 1245291558

Kaweah Delta Health Care District's National Provider Identifier is 1245291558, issued on Mar 29, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Visalia, CA. The record was last updated on Mar 7, 2023.