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Organization
TULE RIVER INDIAN HEALTH CENTER, INC.
Active
Organization
TULE RIVER INDIAN HEALTH CENTER, INC.
Active
Other names
Tule River Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA JIMENEZ MBA (STAFF ACCOUNTANT)
(559) 791-2549
Entity
Organization
Contact information
Practice address
380 N RESERVATION RD, PORTERVILLE, CA 93257-9673
(559) 784-2316
(559) 791-2533
Mailing address
PO BOX 768, PORTERVILLE, CA 93258-0768
(559) 784-2316
(559) 791-2533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051092
MEDICARE FQHC
CA
Enumeration date
11/22/2005
Last updated
04/17/2024
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