Provider Demographics
NPI:1437919412
Name:KINGS COUNTY JAIL
Entity Type:Organization
Organization Name:KINGS COUNTY JAIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SHERIFF
Authorized Official - Prefix:
Authorized Official - First Name:CHRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-852-4136
Mailing Address - Street 1:PO BOX 986
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93232-0986
Mailing Address - Country:US
Mailing Address - Phone:559-852-4136
Mailing Address - Fax:559-589-1739
Practice Address - Street 1:1570 KINGS COUNTY DR
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5980
Practice Address - Country:US
Practice Address - Phone:559-852-4136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health