Organization
COUNTY OF STANISLAUS
Active
Other names
Stanislaus County Health Services Agency Specialty Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN LEE (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
830 SCENIC DR, SUITE B, MODESTO, CA 95350-6131
(209) 558-7000
Mailing address
830 SCENIC DR, SUITE B, MODESTO, CA 95350-6131
(209) 558-7000
(209) 558-5614
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM70759F
MEDICAL
CA
01
—
ZZZ21961Z
MEDICARE PTAN
CA
Enumeration date
06/25/2007
Last updated
03/09/2010
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