Healthcare Provider Details

I. General information

NPI: 1023129459
Provider Name (Legal Business Name): STRATHMORE MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19757 ORANGE BELT DR
STRATHMORE CA
93267-9798
US

IV. Provider business mailing address

PO BOX 398
LEMOORE CA
93245-0398
US

V. Phone/Fax

Practice location:
  • Phone: 559-568-1200
  • Fax: 559-568-1206
Mailing address:
  • Phone: 559-568-1200
  • Fax: 559-568-1206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberRHM08914F
License Number StateCA

VIII. Authorized Official

Name: MR. DOLPHUS D PIERCE II
Title or Position: ADMINISTRATOR / OWNER
Credential: D.C.
Phone: 559-905-9000