County Of Stanislaus
Clinic/Center in Modesto, CA. Organization (NPI-2).
NPI number1154527232
StatusActive
Last updated in NPPESMar 9, 2010
Details
- NPI
- 1154527232
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Stanislaus
- Organization subpart
- No
- Enumeration date
- Jun 25, 2007
- Last updated
- Mar 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Stanislaus County Health Services Agency Specialty Clinics (Doing Business As)
Practice location
830 Scenic DrSuite B
Modesto, CA 95350-6131
Phone 209-558-7000
Mailing address
830 Scenic DrSuite B
Modesto, CA 95350-6131
Phone 209-558-7000 · Fax 209-558-5614
Authorized official
Mary Ann Lee
Managing Director
2095587163
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