Organization
KAISER FOUNDATION HOSPITAL
Active
Parent organization
KAISER PERMANENTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER PERMANENTE
Authorized official
MRS. NANCY PILKINGTON NP (DIRECTOR OF EDUCATION)
(209) 735-5620
Entity
Organization
Contact information
Practice address
4601 DALE RD, ICU H2312, MODESTO, CA 95356-9718
(209) 735-7615
(209) 735-7603
Mailing address
4601 DALE RD, ICU H2312, MODESTO, CA 95356-9718
(209) 735-7615
(209) 735-7603
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
163WC0200X
CA
Other
Enumeration date
10/08/2009
Last updated
04/22/2021
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