Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICT
Other names
Kaweah Health Medical Clinic - Willow Specialty
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 202, VISALIA, CA 93291-6238
(559) 624-2739
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2739
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/06/2017
Last updated
01/29/2025
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