Organization
COUNTY OF STANISLAUS
Active
Other names
Stanislaus County Health Services Agency Public Health Department, County of Stanislaus Public Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DUVALL (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
1524 MCHENRY AVE STE 300, MODESTO, CA 95350-4570
(209) 558-7700
(209) 558-8184
Mailing address
917 OAKDALE RD, MODESTO, CA 95355-4593
(209) 558-7700
(209) 558-8184
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ25973Z
MEDICARE PTAN
CA
Enumeration date
03/09/2010
Last updated
09/03/2025
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