# SAN JOAQUIN GENERAL HOSPITAL DIALYSIS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124264510
- **Authorized official:** MS. MARIA ELENA RAMIREZ MSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (209) 468-6681

## Contact information

- **Practice address:** 7783 S. FREEDOM ROAD, FRENCH CAMP, CA 95231
- **Practice address phone:** (209) 468-6681
- **Mailing address:** 500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
- **Mailing address phone:** (209) 468-6681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 94600531 | CA | Yes |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 01/06/2009