Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICT
Other names
Kaweah Health Exeter Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Authorized official
MALINDA TUPPER (SRVP/CHIEF FINANCIAL OFFICER)
(559) 624-4065
Entity
Organization
Contact information
Practice address
1014 SAN JUAN AVE, EXETER, CA 93221-1312
(559) 624-2000
(559) 713-2356
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR1300X
Rural Health Clinic/Center
Primary
120000580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP18508G
—
CA
05
—
HAP18508G
—
CA
05
—
RHM18508G
—
CA
01
—
ZZZ54779Z
BLUE SHIELD
CA
Enumeration date
04/04/2006
Last updated
04/20/2022
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