Healthcare Provider Details
I. General information
NPI: 1154328995
Provider Name (Legal Business Name): NORTH KERN-SOUTH TULARE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1509 TOKAY ST
DELANO CA
93215-3603
US
IV. Provider business mailing address
1509 TOKAY ST
DELANO CA
93215-3603
US
V. Phone/Fax
- Phone: 661-720-2100
- Fax: 661-720-2177
- Phone: 661-720-2100
- Fax: 661-720-2177
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
DENNIS
KARNOWSKI
Title or Position: ADMINISTRATOR
Credential:
Phone: 661-720-2111