Healthcare Provider Details

I. General information

NPI: 1578798047
Provider Name (Legal Business Name): ADVENTIST HEALTH DELANO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 GARCES HWY
DELANO CA
93215-3690
US

IV. Provider business mailing address

1401 GARCES HWY P.O.BOX 460
DELANO CA
93215-3690
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-5388
  • Fax: 661-721-5719
Mailing address:
  • Phone: 661-721-5388
  • Fax: 661-721-5719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DAVID BUTLER
Title or Position: PRESIDENT
Credential:
Phone: 661-721-5209