NPIMap

Organization Active NPI

County of Tulare

  • Prison Health Clinic/Center
  • Visalia, CA
National Provider Identifier
1376357574
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF TULARE
Practice address
36712 Road 112
Visalia, CA 93291-9517
Phone
(559) 624-8480
NPI assigned
Feb 6, 2025
Organization subpart
Yes
Parent organization
COUNTY OF TULAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Staci Chastain
Title
Deputy HHS Director, PH Operations
Phone
(559) 624-8480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

36712 Road 112
Visalia, CA 93291-9517

Mailing address

5957 S Mooney Blvd
Visalia, CA 93277-9394
Phone (559) 624-8480

Other names 1

  • Tulare County Health & Human Services Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2155023County of Tulare, Bob Wiley Detention Facility36712 Road 112, Visalia, CA 93291Certificate of waiverApr 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hillman Health Care Cen23 organizations share this tax ID, including this one
Part of
Hillman Health Care Cen

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1376357574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779394",
            "telephone_number": "559-624-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36712 ROAD 112",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919517",
            "telephone_number": "559-624-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TULARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF TULARE",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "DEPUTY HHS DIRECTOR, PH OPERATIONS",
        "authorized_official_telephone_number": "559-624-8480"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulare County Health & Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.