Provider Demographics
NPI:1306840723
Name:TULARE LOCAL HEALTH CARE DISTRICT
Entity Type:Organization
Organization Name:TULARE LOCAL HEALTH CARE DISTRICT
Other - Org Name:TULARE REGIOINAL MEDICAL CENTER
Other - Org Type:Doing Business As
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 1:869 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2207
Mailing Address - Country:US
Mailing Address - Phone:559-685-3462
Mailing Address - Fax:559-685-3538
Practice Address - Street 1:869 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2207
Practice Address - Country:US
Practice Address - Phone:559-685-3462
Practice Address - Fax:559-685-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120000585282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT30359FMedicaid
CAZZT40359FMedicaid
CAZZT30359FMedicaid
CA=========OtherTAX ID NUMBER