# DEL PUERTO HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Del Puerto Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063430916
- **Authorized official:** MR. KARIN HENNINGS (CEO ADMINISTRATOR)
- **Authorized official phone:** (209) 892-8781

## Contact information

- **Practice address:** 1700 KEYSTONE PACIFIC PKWY, UNIT B, PATTERSON, CA 95363-8874
- **Practice address phone:** (209) 892-9100
- **Practice address fax:** (209) 892-9102
- **Mailing address:** PO BOX 187, PATTERSON, CA 95363-0187
- **Mailing address phone:** (209) 892-8781
- **Mailing address fax:** (209) 892-3755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 09/22/2020