Organization Name: | DINUBA MEDICAL CLINIC |
NPI Number: | 1073600599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MOORE (EXECUTIVE DIRECTOR) |
Mailing Address: | 271 North L Street Dinuba |
State: | CA US |
Postal Code: | 93618 |
Phone Number: | 5595911820 |
Fax Number: | 5595918225 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |