Organization
STANISLAUS HEALTH AND WELLNESS INC
Active
Other names
209 Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE I JACOB (PRESIDENT)
(209) 846-9429
Entity
Organization
Contact information
Practice address
1908 COFFEE RD STE 3, MODESTO, CA 95355
(209) 846-9429
(209) 551-1665
Mailing address
PO BOX 578700, MODESTO, CA 95357-8700
(209) 551-0420
(209) 551-1665
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225073307
NPI
—
01
—
1447338355
NPI
—
Enumeration date
11/07/2017
Last updated
09/18/2023
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