# JOHN MUIR MEDICAL CTR CONCORD CAMPUS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOHN MUIR MEDICAL CENTER CONCORD CAMPUS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720126717
- **Authorized official:** MIKE THOMAS (CEO)
- **Authorized official phone:** (925) 941-2100

## Contact information

- **Practice address:** 2540 EAST ST, CONCORD, CA 94520-1906
- **Practice address phone:** (925) 674-2130
- **Practice address fax:** (925) 674-2037
- **Mailing address:** 2540 EAST ST, CONCORD, CA 94520-1906
- **Mailing address phone:** (925) 674-2130
- **Mailing address fax:** (925) 674-2037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HSP42916 | CA | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 03/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2035752 | PK | — |
| 05 | — | PHOB97460 | — | CA |