Healthcare Provider Details

I. General information

NPI: 1336668284
Provider Name (Legal Business Name): KERN COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 F ST STE B1
BAKERSFIELD CA
93301-1829
US

IV. Provider business mailing address

PO BOX 844847
LOS ANGELES CA
90084-4847
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2000
  • Fax:
Mailing address:
  • Phone: 661-326-2242
  • Fax: 661-326-2982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number120000182
License Number StateCA

VIII. Authorized Official

Name: ANDREW CANTU
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 661-326-2104