Organization
COUNTY OF STANISLAUS
Active
Other names
Stanislaus County Health Services Agency Hughson Medical Office
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN LEE (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
2412 THIRD STREET, HUGHSON, CA 95326-0249
(209) 558-7250
Mailing address
PO BOX 249, HUGHSON, CA 95326-0249
(209) 558-7250
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC18531F
MEDICAL
CA
01
—
HAP18531F
FAMILY PACT
CA
01
—
RHM18531F
MEDICAL
CA
Enumeration date
06/21/2007
Last updated
03/17/2008
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