NPIMap

Organization Active NPI

County of Tulare Health and Human Services Agency

  • Rehabilitation Clinic/Center
  • Visalia, CA
National Provider Identifier
1477626422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
NOT APPLICABLE
Legal business name
COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY
Practice address
1800 N Lovers LN
Visalia, CA 93292-3102
Phone
(559) 685-2533
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raymond Bullick
Title
Director of Health Services
Phone
(559) 737-4669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NOT APPLICABLE Primary

Addresses

Primary practice location

1800 N Lovers LN
Visalia, CA 93292-3102

Mailing address

5957 S Mooney Blvd
Visalia, CA 93277-9394
Phone (559) 737-4669

Other identifiers 1

IdentifierTypeStateIssuer
CCS00111FMedicaidCA

Other names 1

  • CCS RIVERBEND MTU Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hillman Health Care Cen23 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

Locations

1800 N Lovers Ln
Visalia, CA 93292
Phone (559) 685-2533

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477626422",
    "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": "559-737-4669",
            "fax_number": "559-737-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N LOVERS LN",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923102",
            "telephone_number": "559-685-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLICK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "559-737-4669"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00111F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS RIVERBEND MTU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.