Organization · Type 2 NPI

Kaweah Delta Health Care District

Multi-Specialty Clinic/Center · Visalia, CA

NPI number 1578081915 Active

Practice location

202 W Willow Ave Ste 202
Visalia, CA 93291-6238

Call (559) 624-2739 Map

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Primary Care Clinic/Center	261QP2300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Walter Blake Gribben, MDPulmonary Disease Physician Visalia, CA NPI 1619296795

Other multi-specialty clinic/center providers in Visalia

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NPI record

NPI: 1578081915
Entity type: Organization (Type 2)
Issued: Sep 6, 2017
Last updated: Jan 29, 2025
Status: Active
Subpart: Yes of Kaweah Delta Health Care District

Other names

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Kaweah Health Medical Clinic - Willow Specialty · doing business as

Authorized official

Malinda Tupper
Sr. VP/cfo
(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 1578081915

Kaweah Delta Health Care District's National Provider Identifier is 1578081915, issued on Sep 6, 2017. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Visalia, CA. The record was last updated on Jan 29, 2025.