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Organization
PORT CITY OPERATING COMPANY, LLC
Active
Organization
PORT CITY OPERATING COMPANY, LLC
Active
Parent organization
PORT CITY OPERATING COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORT CITY OPERATING COMPANY, LLC
Authorized official
DANIEL MORISETTE (SYSTEM CHIEF FINANCIAL OFFICER)
(858) 275-8112
Entity
Organization
Contact information
Practice address
509 W WEBER AVE STE 200, STOCKTON, CA 95203-3107
(858) 275-8112
(779) 803-8118
Mailing address
PO BOX 213008, STOCKTON, CA 95213-9008
(858) 275-8112
(779) 803-8118
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100000166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651191369
IRS
—
01
—
651191369952040002
TRICARE
—
05
—
ZZR07212G
—
CA
01
—
ZZZ07634Z
BLUE SHIELD
—
Enumeration date
03/09/2007
Last updated
08/11/2025
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