# KAWEAH DELTA HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAWEAH DELTA HEALTH CARE DISTRICT
- **Other names:** Kaweah Health Tulare Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174130942
- **Legal business name:** KAWEAH DELTA HEALTH CARE DISTRICT
- **Authorized official:** MALINDA TUPPER (VP/CFO)
- **Authorized official phone:** (559) 624-4065

## Contact information

- **Practice address:** 1000 N MOONEY BLVD, TULARE, CA 93274-2417
- **Practice address phone:** (559) 624-2000
- **Mailing address:** 400 W MINERAL KING AVE, VISALIA, CA 93291-6237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 04/20/2022