Organization
COUNTY OF STANISLAUS
Active
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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