Healthcare Provider Details

I. General information

NPI: 1790140333
Provider Name (Legal Business Name): ADVENTIST HEALTH PHYSICIANS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 G ST SUITE B
REEDLEY CA
93654-2627
US

IV. Provider business mailing address

PO BOX 2087
HANFORD CA
93232-2087
US

V. Phone/Fax

Practice location:
  • Phone: 559-391-3760
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIRBY MCKAGUE
Title or Position: CFO
Credential:
Phone: 916-865-1865