Organization
KINGSBURG DISTRICT HOSPITAL
Active
Other names
KINGSBURG MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS SIERRA CFO (CHIEF FINANCIAL OFFICER)
(559) 897-5841
Entity
Organization
Contact information
Practice address
1200 SMITH ST, KINGSBURG, CA 93631-2216
(559) 897-5841
(559) 897-5579
Mailing address
1200 SMITH ST, KINGSBURG, CA 93631-2216
(559) 897-5841
(559) 897-5579
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM13995F
—
CA
01
—
ZZZ61298Z
BLUE SHIELD PIN
CA
Enumeration date
02/13/2007
Last updated
02/01/2008
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