# STANISLAUS SURGICAL HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stanislaus Surgical Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437121886
- **Authorized official:** KRISTINE KASSAHN MBA, BSN, RN, PHN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (209) 232-2500

## Contact information

- **Practice address:** 1421 OAKDALE RD, MODESTO, CA 95355-3359
- **Practice address phone:** (209) 572-2700
- **Practice address fax:** (209) 572-0151
- **Mailing address:** 1421 OAKDALE RD, MODESTO, CA 95355-3359
- **Mailing address phone:** (209) 572-2700
- **Mailing address fax:** (209) 572-0151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0300695 | CA | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 06/15/2023