Healthcare Provider Details

I. General information

NPI: 1710168422
Provider Name (Legal Business Name): KINGS COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 11/21/2007
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: 559-582-7618
Mailing address:
  • Phone: 559-584-1401
  • Fax: 559-582-7618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MR. KARL L NOYES
Title or Position: FISCAL MANAGER
Credential:
Phone: 559-582-3211