Healthcare Provider Details

I. General information

NPI: 1760269930
Provider Name (Legal Business Name): COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36650 ROAD 112
VISALIA CA
93291-9517
US

IV. Provider business mailing address

5957 S MOONEY BLVD
VISALIA CA
93277-9394
US

V. Phone/Fax

Practice location:
  • Phone: 559-624-8480
  • Fax:
Mailing address:
  • Phone: 559-602-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY SWARTHOUT
Title or Position: PUBLIC HEALTH MANAGER
Credential:
Phone: 559-602-0750