Organization
PORT CITY OPERATING COMPANY, LLC
Active
Parent organization
PORT CITY OPERATING COMPANY, LLC
Other names
St. Joseph's Behavioral Health Center
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
2510 N CALIFORNIA ST, STOCKTON, CA 95204-5502
(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
283Q00000X
Psychiatric Hospital
Primary
030000367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
721561125
IRS
—
01
—
721561125952040001
TRICARE
—
05
—
HSP30201J
—
CA
05
—
HSP40201J
—
CA
01
—
ZZZA3902Z
BLUE SHIELD
—
Enumeration date
03/12/2007
Last updated
08/11/2025
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