Provider Demographics
NPI:1619025970
Name:DINUBA RURAL HEALTH MEDICAL CENTER INC
Entity Type:Organization
Organization Name:DINUBA RURAL HEALTH MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:NYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-783-1181
Mailing Address - Street 1:420 E EL MONTE WAY
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-1611
Mailing Address - Country:US
Mailing Address - Phone:559-595-9500
Mailing Address - Fax:559-595-9039
Practice Address - Street 1:420 E EL MONTE WAY
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-1611
Practice Address - Country:US
Practice Address - Phone:559-595-9500
Practice Address - Fax:559-595-9039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM53898FMedicaid
CA553898Medicare PIN
CA00A465100Medicare PIN
553898Medicare Oscar/Certification