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General NPI Number Information
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NPI Number | 1841439627
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Entity Type | Organization
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Legal Business Name | TULARE LOCAL HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 5313 ROAD 39
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City | ALPAUGH
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State | CA
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Zip | 93201-0273
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Country | US
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Telephone | 559-684-4530
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Fax | 559-686-1157
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Provider Business Mailing Address
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Address Line | 869 N CHERRY ST
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City | TULARE
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State | CA
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Zip | 93274-2207
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Country | US
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Telephone | 559-684-4530
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Fax | 559-686-1157
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Authorized Official
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Title or Position | CEO
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Name | MR. PAUL WALKER
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Credential |
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Telephone | 559-685-3462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 120000585
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License Number State | CA
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