Organization Active NPI

Kingsburg District Hospital

Doing business as Kingsburg Medical Center

  • Rural Health Clinic/Center
  • Kingsburg, CA
National Provider Identifier
1891837878
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KINGSBURG DISTRICT HOSPITAL
Doing business as
Kingsburg Medical Center
Practice address
1200 Smith St
Kingsburg, CA 93631-2216
Phone
(559) 897-5841
Fax
(559) 897-5579
NPI assigned
Feb 13, 2007
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Luis Sierra, CFO
Title
Chief Financial Officer
Phone
(559) 897-5841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1200 Smith St
Kingsburg, CA 93631-2216

Mailing address

1200 Smith St
Kingsburg, CA 93631-2216
Phone (559) 897-5841

Other identifiers 2

IdentifierTypeStateIssuer
RHM13995FMedicaidCA
ZZZ61298ZOtherCABLUE SHIELD PIN

Other names 1

  • KINGSBURG MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kingsburg District Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1891837878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SMITH ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312216",
            "telephone_number": "559-897-5841",
            "fax_number": "559-897-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SMITH ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312216",
            "telephone_number": "559-897-5841",
            "fax_number": "559-897-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBURG DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-897-5841",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM13995F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ61298Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGSBURG MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.