Healthcare Provider Details

I. General information

NPI: 1225364060
Provider Name (Legal Business Name): REEDLEY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1781 SIMPSON STREET
KINGSBURG CA
93631-1934
US

IV. Provider business mailing address

PO BOX 888806
LOS ANGELES CA
90088-8806
US

V. Phone/Fax

Practice location:
  • Phone: 559-897-6610
  • Fax: 559-897-6611
Mailing address:
  • Phone: 559-897-6610
  • Fax: 559-897-6611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA KOFL
Title or Position: CENTRAL VALLEY NETWORK PRESIDENT
Credential:
Phone: 559-537-0056