Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICT
Other names
Sequoia Health & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Authorized official
MALINDA TUPPER (SR. VP/CFO)
(559) 624-4065
Entity
Organization
Contact information
Practice address
202 W WILLOW AVE STE 502, VISALIA, CA 93291-6268
(559) 624-6590
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2739
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBD
MEDICARE
CA
Enumeration date
09/09/2019
Last updated
03/07/2023
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