Basic Information
| Provider Information | |||||||||
| NPI: | 1922614197 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SIERRA VIEW LOCAL HEALTH CARE DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 465 W PUTNAM AVE | ||||||||
| Address2: | |||||||||
| City: | PORTERVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932573320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5597841110 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9520 ROAD 238 | ||||||||
| Address2: | |||||||||
| City: | TERRA BELLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93270 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5595446815 | ||||||||
| FaxNumber: | 5595446820 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2020 | ||||||||
| LastUpdateDate: | 09/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | VASQUEZ | ||||||||
| AuthorizedOfficialFirstName: | GUADALUPE | ||||||||
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| AuthorizedOfficialTitleorPosition: | HEALTH CLINIC MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 5597914700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| NPICertificationDate: | 09/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.