NPIMap

Organization Active NPI

Tule River Indian Health Center, Inc.

  • Ambulance
  • Porterville, CA
National Provider Identifier
1669007977
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TULE RIVER INDIAN HEALTH CENTER, INC.
Practice address
380 N Reservation Rd
Porterville, CA 93257-9673
Phone
(559) 784-2316
Fax
(559) 791-2533
NPI assigned
Mar 6, 2020
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TULE RIVER INDIAN HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Sylvia Jimenez, MBA
Title
Staff Accountant
Phone
(559) 791-2549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

380 N Reservation Rd
Porterville, CA 93257-9673

Mailing address

PO Box 768
Porterville, CA 93258-0768
Phone (559) 784-2316

Other identifiers 2

IdentifierTypeStateIssuer
1972586972MedicaidCA
1669007977MedicaidCA

Other names 1

  • Tule River Health Center, Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200616002317 TX Part B Supplier - Ambulance Service Supplier 0547366346 Practice locations: Porterville, CA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Tule River Indian Health Center Inc6 organizations share this tax ID, including this one
Part of
Tule River Indian Health Center Inc

Other organizations with this tax ID 5

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

Locations

380 N Reservation Rd
Porterville, CA 93257
Phone (559) 784-2316

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1669007977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932580768",
            "telephone_number": "559-784-2316",
            "fax_number": "559-791-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N RESERVATION RD",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932579673",
            "telephone_number": "559-784-2316",
            "fax_number": "559-791-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULE RIVER INDIAN HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TULE RIVER INDIAN HEALTH CENTER, INC.",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "STAFF ACCOUNTANT",
        "authorized_official_telephone_number": "559-791-2549",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972586972",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669007977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tule River Health Center, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.