Provider Demographics
NPI:1861715401
Name:GALE KUNS MINISTRIES, INC.
Entity type:Organization
Organization Name:GALE KUNS MINISTRIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GALE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-625-1329
Mailing Address - Street 1:PO BOX 4307
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93278-4307
Mailing Address - Country:US
Mailing Address - Phone:559-625-1329
Mailing Address - Fax:559-738-9871
Practice Address - Street 1:1050 N SUMTER CT
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292
Practice Address - Country:US
Practice Address - Phone:559-625-1329
Practice Address - Fax:559-738-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5472013013245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA104100000XMedicare PIN