Healthcare Provider Details

I. General information

NPI: 1427049964
Provider Name (Legal Business Name): KERN VALLEY HEALTHCARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6412 LAUREL AVE
LAKE ISABELLA CA
93240-9529
US

IV. Provider business mailing address

PO BOX 1628
LAKE ISABELLA CA
93240-1628
US

V. Phone/Fax

Practice location:
  • Phone: 760-379-2681
  • Fax: 760-379-4795
Mailing address:
  • Phone: 760-379-2681
  • Fax: 760-379-4795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number120000183
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number120000183
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHE40272
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN LOVRICH
Title or Position: CEO
Credential:
Phone: 760-379-2681