Provider Demographics
NPI:1255775383
Name:TULARE LOCAL HEALTH CARE DISTRICT
Entity type:Organization
Organization Name:TULARE LOCAL HEALTH CARE DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-688-0821
Mailing Address - Street 1:1062 S K ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-6422
Mailing Address - Country:US
Mailing Address - Phone:559-684-4530
Mailing Address - Fax:559-687-1362
Practice Address - Street 1:325 N WEST ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-3407
Practice Address - Country:US
Practice Address - Phone:559-366-1133
Practice Address - Fax:559-366-1935
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TULARE LOCAL HEALTH CARE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-19
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120000585261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty