Organization
MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
(916) 297-8555
Entity
Organization
Contact information
Practice address
1700 COFFEE ROAD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
PO BOX 740152, LOS ANGELES, CA 90074-0152
(955) 398-1633
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
352732
CA
Other
Enumeration date
12/11/2006
Last updated
12/02/2013
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