Organization
ST. MARY'S DINING ROOM
Active
Organization
ST. MARY'S DINING ROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA LINDEN (CHIEF EXECUTIVE OFFICER)
(209) 467-0703
Entity
Organization
Contact information
Practice address
545 W SONORA ST, STOCKTON, CA 95203-3329
(209) 467-0703
Mailing address
545 W SONORA ST, STOCKTON, CA 95203-3329
(209) 467-0703
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up