Healthcare Provider Details

I. General information

NPI: 1366595019
Provider Name (Legal Business Name): NORTH KERN SOUTH TULARE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 03/09/2011
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

Practice location:
  • Phone: 661-720-2100
  • Fax: 661-720-2177
Mailing address:
  • Phone: 661-720-2100
  • Fax: 661-720-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number120000281
License Number StateCA

VIII. Authorized Official

Name: LIDIA ALBIAR
Title or Position: DISTRICT ADMINISTRATOR
Credential:
Phone: 661-720-2100