Provider Demographics
NPI:1992943054
Name:TULARE LOCAL HEALTH CARE DISTRICT
Entity type:Organization
Organization Name:TULARE LOCAL HEALTH CARE DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-685-3462
Mailing Address - Street 1:845 SEQUOIA AVE
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:CA
Mailing Address - Zip Code:93247-1424
Mailing Address - Country:US
Mailing Address - Phone:559-562-6391
Mailing Address - Fax:559-685-3835
Practice Address - Street 1:845 SEQUOIA AVE
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:CA
Practice Address - Zip Code:93247-1424
Practice Address - Country:US
Practice Address - Phone:559-562-6391
Practice Address - Fax:559-685-3835
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TULARE LOCAL HEALTHCARE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-28
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120000585261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health