NPIMap

Organization Active NPI

County of Tulare

  • Community/Behavioral Health Agency
  • Visalia, CA
National Provider Identifier
1407304678
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
540002HN Issued in CA
Legal business name
COUNTY OF TULARE
Practice address
942 S Santa Fe St
Visalia, CA 93292-2912
Phone
(559) 636-4000
Fax
(559) 624-1067
NPI assigned
Sep 16, 2016
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Natalie Bolin
Title
Director of Mental Health
Phone
(559) 624-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 540002HN CA Primary

Addresses

Primary practice location

942 S Santa Fe St
Visalia, CA 93292-2912

Mailing address

5957 S Mooney Blvd
Visalia, CA 93277-9394
Phone (559) 624-7445

Other names 1

  • Visalia Recovery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000821 CA Part B Supplier - Clinic/Group Practice 1456264555 Receives reassigned benefits from 89 practitioners
15 other NPIs on this enrollment
Practice locations: Visalia, CA; Tulare, CA; Porterville, CA; Farmersville, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • County of Tulare

    dba Visalia Health Care Center

    • Federally Qualified Health Center (FQHC)
    • Visalia, CA
    • NPI 1457385163

    1456264555

    Same PAC ID
  • County of Tulare

    dba Tulare County Public Health Laboratory

    • Clinical Medical Laboratory
    • Tulare, CA
    • NPI 1457389959

    1456264555

    Same PAC ID
  • County of Tulare

    dba Farmersville Health Care Center

    • Federally Qualified Health Center (FQHC)
    • Farmersville, CA
    • NPI 1801831227

    1456264555

    Same PAC ID

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

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
05D2289567Visalia Recovery Center942 South Santa Fe, Visalia, CA 93292Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Co of Tulane23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tulare County Health and Human Services AgencyVisalia, CA, CCN 551814 Federally qualified health center Other (100%) Jan 1, 1976
Tulare County Health and Human Services AgencyFarmersville, CA, CCN 551870 Federally qualified health center Other Apr 30, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 123

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1407304678",
    "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": "559-624-7445",
            "fax_number": "559-624-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 S SANTA FE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932922912",
            "telephone_number": "559-636-4000",
            "fax_number": "559-624-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TULARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH",
        "authorized_official_telephone_number": "559-624-7445"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "540002HN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visalia Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.