Organization
OUTPATIENT AND SPECIALTY CENTER AT SIERRA KINGS DISTRICT HOSPITAL
Active
Other names
Sierra Kings Health Care District
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA OTT (CHIEF EXECUTIVE OFFICER)
(559) 638-8155
Entity
Organization
Contact information
Practice address
372 W CYPRESS AVE, REEDLEY, CA 93654-2113
(559) 638-8155
(559) 638-7555
Mailing address
372 W. CYPRESS AVE, REEDLEY, CA 93654-2113
(559) 638-8155
(559) 638-7555
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
APPLIED FOR/PENDING
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLIED FOR/PENDING
MEDICARE, TYPE UNSPECIFIED
—
05
—
APPLIED FOR/PENDING
—
CA
Enumeration date
08/12/2009
Last updated
08/12/2009
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