# TULE RIVER INDIAN HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TULE RIVER INDIAN HEALTH CENTER, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508005166
- **Legal business name:** TULE RIVER INDIAN HEALTH CENTER, INC
- **Authorized official:** MR. LARRY ALAN ANDERSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (559) 784-2316

## Contact information

- **Practice address:** 229 W CHERRY AVE, PORTERVILLE, CA 93257-3401
- **Practice address phone:** (559) 782-5900
- **Practice address fax:** (559) 791-2533
- **Mailing address:** PO BOX 768, PORTERVILLE, CA 93258-0768
- **Mailing address phone:** (559) 782-5900
- **Mailing address fax:** (559) 791-2533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 02/05/2009