Organization Name: | TULE RIVER INDIAN HEALTH CENTER, INC |
NPI Number: | 1508005166 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY ALAN ANDERSON (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 229 W Cherry Ave Porterville |
State: | CA US |
Postal Code: | 932573401 |
Phone Number: | 5597825900 |
Fax Number: | 5597912533 |
NPI Enumeration Date: | 02/05/2009 |
NPI Last Update Date: | 02/05/2009 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
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