Healthcare Provider Details

I. General information

NPI: 1598197444
Provider Name (Legal Business Name): KINGS COUNTY DEPARTMENT OF PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 CAMPUS DR
HANFORD CA
93230-4375
US

IV. Provider business mailing address

330 CAMPUS DR
HANFORD CA
93230-4375
US

V. Phone/Fax

Practice location:
  • Phone: 559-584-1401
  • Fax: 559-589-0652
Mailing address:
  • Phone: 559-584-1401
  • Fax: 559-589-0652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberVN189992
License Number StateCA

VIII. Authorized Official

Name: MR. KEITH WINKLER
Title or Position: DIRECTOR OF PUBLIC HEALTH DEPT.
Credential: REHS
Phone: 559-852-2625