Organization
DOCTORS MEDICAL CENTER OF MODESTO, INC.
Active
Other names
Doctors Medical Center of Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON GARDNER (CFO)
(209) 576-3790
Entity
Organization
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 578-1211
Mailing address
PO BOX 57376, LOS ANGELES, CA 90074-7376
(209) 578-2513
(209) 576-3680
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030000026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000414
HUMANA
—
01
—
012821-0001
PACIFICARE OF CALIFORNIA
—
01
—
661516980
AETNA US HEALTHCARE (NATI
—
05
—
HSC30464H
—
CA
05
—
HSP30464G
—
CA
05
—
HSP40464G
—
CA
05
—
HSP40464H
—
CA
01
—
ZZZA0464Z
BS OF CALIFORNIA
—
Enumeration date
07/04/2006
Last updated
04/29/2025
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