Tualre District Hospital Mobile Clinic | |
14640 Ave 168 Woodville CA 93257-9264 | |
(559) 684-4520 | |
(559) 686-1020 |
Full Name | Tualre District Hospital Mobile Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 14640 Ave 168, Woodville, California |
Authorized Official Name and Position | Paul Walker (CEO) |
Authorized Official Contact | 5596853462 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tualre District Hospital Mobile Clinic 869 N Cherry St Tulare CA 93274-2207 Ph: (559) 684-4520 | Tualre District Hospital Mobile Clinic 14640 Ave 168 Woodville CA 93257-9264 Ph: (559) 684-4520 |
NPI Number | 1093854838 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 02/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093854838 | NPI | - | NPPES |
ZZT40359F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 120000585 (California) | Primary |