Provider Demographics
NPI:1154328995
Name:NORTH KERN-SOUTH TULARE HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NORTH KERN-SOUTH TULARE HOSPITAL DISTRICT
Other - Org Name:DELANO DISTRICT SKILLED NURSING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-720-2111
Mailing Address - Street 1:1509 TOKAY ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-3603
Mailing Address - Country:US
Mailing Address - Phone:661-720-2100
Mailing Address - Fax:661-720-2177
Practice Address - Street 1:1509 TOKAY ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3603
Practice Address - Country:US
Practice Address - Phone:661-720-2100
Practice Address - Fax:661-720-2177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC55479FMedicaid
CALTC55479FMedicaid