Organization
DEL PUERTO HEALTH CARE DISTRICT
Active
Other names
Del Puerto Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARIN HENNINGS (CEO ADMINISTRATOR)
(209) 892-8781
Entity
Organization
Contact information
Practice address
1700 KEYSTONE PACIFIC PKWY, UNIT B, PATTERSON, CA 95363-8874
(209) 892-9100
(209) 892-9102
Mailing address
PO BOX 187, PATTERSON, CA 95363-0187
(209) 892-8781
(209) 892-3755
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM08901F
—
CA
Enumeration date
07/18/2006
Last updated
09/22/2020
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