Healthcare Provider Details

I. General information

NPI: 1730543091
Provider Name (Legal Business Name): COUNTY OF TULARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 04/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5957 S MOONEY BLVD
VISALIA CA
93277-6422
US

IV. Provider business mailing address

1062 S K ST
TULARE CA
93274-6422
US

V. Phone/Fax

Practice location:
  • Phone: 559-624-8000
  • Fax:
Mailing address:
  • Phone: 559-624-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON T BRITT
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential:
Phone: 559-624-8000