# PACIFIC GARDENS MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Gardens Medical Center, Gardens Regional Hospital and Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912429242
- **Authorized official:** TAMMY JEAN THOMPSON (EXECUTIVE VP FINANCE-CFO)
- **Authorized official phone:** (209) 248-7851

## Contact information

- **Practice address:** 21530 PIONEER BLVD, HAWAIIAN GARDENS, CA 90716-2608
- **Practice address phone:** (209) 505-1035
- **Mailing address:** 700 17TH ST STE 205, MODESTO, CA 95354-1249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2017
- **Last updated:** 03/03/2021