Healthcare Provider Details

I. General information

NPI: 1427176569
Provider Name (Legal Business Name): KERN COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 COLUMBUS ST STE 2100, 4000, & 5000
BAKERSFIELD CA
93305-1936
US

IV. Provider business mailing address

1700 MOUNT VERNON AVE ROOM 1241
BAKERSFIELD CA
93306-4018
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2000
  • Fax: 661-326-2100
Mailing address:
  • Phone: 661-326-2102
  • Fax: 661-326-2100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number120000182
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

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