# HOSPITALISTS OF MODESTO MEDICAL GROUP

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

## Provider details

- **NPI number:** 1659712586
- **Authorized official:** MELODY GRAY (MANAGER)
- **Authorized official phone:** (209) 214-7256

## Contact information

- **Practice address:** 1441 FLORIDA AVE, HOSPITALISTS OF MODESTO MEDICAL GROUP, MODESTO, CA 95350-4404
- **Practice address phone:** (209) 576-3525
- **Mailing address:** 1441 FLORIDA AVE, HOSPITALISTS OF MODESTO MEDICAL GROUP, MODESTO, CA 95350-4404
- **Mailing address phone:** (209) 576-3525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A123484 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2013
- **Last updated:** 09/12/2013