Kaweah Health Exeter Clinic

LBN: Kaweah Delta Health Care District
Kaweah Health Exeter Clinic is an health care organization with primary practice located at 1014 San Juan Ave , Exeter CA 93221-1312. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Kaweah Delta Health Care District can be contacted via phone (559) 624-2000, or through Tupper, Malinda via phone (559) 624-4065.

Contact Information

Primary practice address
1014 San Juan Ave Exeter CA 93221-1312
Phone: (559) 624-2000
Fax: (559) 713-2356
Website:
Map and Directions
Authorized official contact:
Name: Tupper, Malinda
Phone: (559) 624-4065

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Supports Brokerage 251X00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 120000580 California

Profile Details

NPI number 1043272172
LBN Legal business name Kaweah Delta Health Care District
DBA Doing business as Kaweah Health Exeter Clinic
Authorized official Tupper, Malinda
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 4th, 2006
Last updated Apr 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043272172 NPPES
California MEDICAID RHM18508G
California MEDICAID BCP18508G
California Other ZZZ54779Z
California MEDICAID HAP18508G

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