Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Other names
Kaweah Health Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA TUPPER (SRVP/CHIEF FINANCIAL OFFICER)
(559) 624-4065
Entity
Organization
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2000
(559) 713-2356
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2739
(559) 713-2239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
282N00000X
General Acute Care Hospital
Primary
120000580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHE399100
—
CA
05
—
ZZT30057F
—
CA
05
—
ZZT40057F
—
CA
01
—
ZZZC5407Z
BLUE SHIELD
CA
Enumeration date
07/19/2005
Last updated
04/20/2022
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