Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICT
Other names
Kaweah Health Medical Clinic - Willow
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Authorized official
MALINDA TUPPER (SRVP, CFO)
(559) 624-4065
Entity
Organization
Contact information
Practice address
202 W WILLOW AVE STE 502, VISALIA, CA 93291-6268
(559) 624-4820
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
120000580
CA
Other
Enumeration date
12/05/2014
Last updated
08/14/2024
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