| Adventist Health Reedley - Taft | |
|
501 6th St Taft CA 93268-2704 | |
| (661) 763-5131 | |
| (661) 763-5137 |
| Full Name | Adventist Health Reedley - Taft |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 6th St, Taft, California |
| Authorized Official Name and Position | Andrea Kofl (CENTRAL VALLEY NETWORK PRESIDENT) |
| Authorized Official Contact | 5595370056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Reedley - Taft Po Box 888806 Los Angeles CA 90088-8806 Ph: (661) 763-5131 | Adventist Health Reedley - Taft 501 6th St Taft CA 93268-2704 Ph: (661) 763-5131 |
| NPI Number | 1528324167 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0941460984 |
|---|---|
| Medicare Enrollment ID | O20151022001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528324167 | NPI | - | NPPES |
| 058973 | Other | CA | MEDICARE PTAN, PRIOR TO 12/01/2015 |
| 058685 | Other | CA | MEDICARE PTAN EFF. 12/01/2015 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 040000149 (California) | Primary |
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