# KAISER FOUNDATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER PERMANENTE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114252111
- **Legal business name:** KAISER PERMANENTE
- **Authorized official:** MRS. NANCY PILKINGTON NP (DIRECTOR OF EDUCATION)
- **Authorized official phone:** (209) 735-5620

## Contact information

- **Practice address:** 4601 DALE RD, ICU H2312, MODESTO, CA 95356-9718
- **Practice address phone:** (209) 735-7615
- **Practice address fax:** (209) 735-7603
- **Mailing address:** 4601 DALE RD, ICU H2312, MODESTO, CA 95356-9718
- **Mailing address phone:** (209) 735-7615
- **Mailing address fax:** (209) 735-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 163WC0200X | CA | Yes |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 04/22/2021
