Organization
COUNTY OF STANISLAUS
Active
Other names
Stanislaus County Health Services Agency McHenry Medical Office
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DUVALL (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
1209 WOODROW AVE, STE. B-10, MODESTO, CA 95350-1288
(209) 558-5312
(209) 558-8611
Mailing address
1209 WOODROW AVE, STE. B-10, MODESTO, CA 95350-1288
(209) 558-5312
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM70751F
MEDICAL
CA
01
—
FHC70751F
MEDICAL
—
01
—
HAP70751F
FAMILY PACT
CA
Enumeration date
06/18/2007
Last updated
11/21/2025
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