KAWEAH HEALTH MEDICAL CLINIC - BEN MADDOX
NPI 1881984706
Clinic/Center - Primary Care in Visalia, CA

Active since April 12, 2011CLIA 05D2027993 · Waiver
1110 S BEN MADDOX WAY, VISALIA, CA 93292(559) 624-4800(559) 635-6100 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, Sep 10, 2019 (2 updates tracked since 2019).

About Kaweah Health Medical Clinic - Ben Maddox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAWEAH HEALTH MEDICAL CLINIC - BEN MADDOX (NPI 1881984706) is a healthcare organization registered as a primary care in Visalia, California and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Malinda Tupper, Srvp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1881984706
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKAWEAH DELTA HEALTH CARE DISTRICT
Location Address1110 S BEN MADDOX WAYVisalia, CA 93292-3643
Mailing Address400 W Mineral King AveVisalia, CA 93291-6237 · (559) 624-2739
Fax(559) 635-6100
Organization SubpartYes
Authorized OfficialMalinda TupperSrvp/chief Financial Officer · (559) 624-4065
Enumeration DateApril 12, 2011
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
NPI 1881984706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1110 S BEN MADDOX WAY, Visalia, CA 93292

Other Names 1

Doing Business AsKaweah Health Medical Clinic - Ben Maddox

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2027993

Kaweah Health Medical Group- Ben Maddox · Visalia, CA
Active · expires Aug 4, 2027
CLIA Number05D2027993
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorDavid S. Hewitt
Laboratory Phone(559) 624-4800
Laboratory LocationKaweah Health Medical Group- Ben Maddox1110 S Ben Maddox Way, Suite B, Visalia, CA 93292
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1110 S BEN MADDOX WAY
VISALIA, CA 93292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaweah Delta Health Care District's NPI number?

The NPI number for Kaweah Delta Health Care District is 1881984706. It was assigned to this organization in the NPPES registry on April 12, 2011. The provider is doing business as Kaweah Health Medical Clinic - Ben Maddox.

Where is Kaweah Delta Health Care District located?

Kaweah Delta Health Care District is located at 1110 S Ben Maddox Way, Visalia, CA 93292. The listed phone number is (559) 624-4800.

What is Kaweah Delta Health Care District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Kaweah Delta Health Care District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2027993) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaweah Delta Health Care District was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.