| Tule River Health Center, Inc. | |
|
380 N Reservation Rd Porterville CA 93257-9673 | |
| (559) 784-2316 | |
| (559) 791-2533 |
| Full Name | Tule River Health Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 380 N Reservation Rd, Porterville, California |
| Authorized Official Name and Position | Sylvia Jimenez (STAFF ACCOUNTANT) |
| Authorized Official Contact | 5597912549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tule River Health Center, Inc. Po Box 768 Porterville CA 93258-0768 Ph: (559) 784-2316 | Tule River Health Center, Inc. 380 N Reservation Rd Porterville CA 93257-9673 Ph: (559) 784-2316 |
| NPI Number | 1972586972 |
|---|---|
| Provider Enumeration Date | 11/22/2005 |
| Last Update Date | 04/17/2024 |
| Medicare PECOS PAC ID | 0547366346 |
|---|---|
| Medicare Enrollment ID | O20070510000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972586972 | NPI | - | NPPES |
| 051092 | Other | CA | MEDICARE FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01185 (California) | Primary |
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