Organization
SATELLITE HEALTHCARE INC
Active
Other names
Satellite Healthcare North Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE VINCENT (PRESIDENT/COO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
4207 BANGS AVE, SUITE 100, MODESTO, CA 95356-8714
(209) 338-2500
(209) 543-3840
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2424
(209) 338-2500
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639511884
—
CA
01
—
550002626
STATE
CA
Enumeration date
06/03/2012
Last updated
01/11/2023
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