Organization
STANISLAUS SURGICAL HOSPITAL LLC
Active
Other names
Stanislaus Surgical Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE KASSAHN MBA, BSN, RN, PHN (CHIEF EXECUTIVE OFFICER)
(209) 232-2500
Entity
Organization
Contact information
Practice address
1421 OAKDALE RD, MODESTO, CA 95355-3359
(209) 572-2700
(209) 572-0151
Mailing address
1421 OAKDALE RD, MODESTO, CA 95355-3359
(209) 572-2700
(209) 572-0151
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0300695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP30726F
—
CA
05
—
HSP40726F
—
CA
Enumeration date
02/01/2006
Last updated
06/15/2023
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