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Organization

COUNTY OF SAN JOAQUIN

Active
Parent organization
SAN JOAQUIN GENERAL HOSPITAL
Other names
End Stage Renal Disease Dialysis Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAN JOAQUIN GENERAL HOSPITAL
Authorized official
MRS. SHEELA KAPRE MD, FCCP, FACP (CHIEF MEDICAL OFFICER)
(209) 468-6600
Entity
Organization

Contact information

Practice address
7783 SOUTH FREEDOM RD., FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
030000087
CA

Other

Enumeration date
10/24/2006
Last updated
08/24/2022
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