Organization
TIPTON MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ROBERTS RN (CEO)
(559) 757-4147
Entity
Organization
Contact information
Practice address
565 N THOMPSON RD, TIPTON, CA 93272-9756
(559) 752-4147
(559) 752-4150
Mailing address
PO BOX 130, TIPTON, CA 93272-0130
(559) 752-4147
(559) 752-4150
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
RHM53969F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528072527
—
CA
01
—
1BZZZ06823Z
BLUE SHIELD
CA
05
—
HAP53969F
—
CA
05
—
RHM53969F
—
CA
Enumeration date
07/28/2006
Last updated
04/12/2024
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