Organization
PORT CITY OPERATING COMPANY, LLC
Active
Parent organization
PORT CITY OPERATING COMPANY, LLC
Other names
St. Joseph's Medical Center of Stockton
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORT CITY OPERATING COMPANY, LLC
Authorized official
DANIEL MORISETTE (CHIEF FINANCIAL OFFICER)
(858) 275-8112
Entity
Organization
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(858) 275-8112
(779) 803-8118
Mailing address
P O BOX 213008, STOCKTON, CA 95213-9008
(858) 275-8112
(779) 803-8118
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030000284
CA
332B00000X
Durable Medical Equipment & Medical Supplies
030000284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300181900
DEPT OF LABOR - WC
—
01
—
651191369
IRS
CA
01
—
651191369952040002
TRICARE
CA
05
—
CGP029213
—
CA
05
—
HSC00084G
—
CA
05
—
HSP40084G
—
CA
05
—
ZZR00084G
—
CA
01
—
ZZZA3902Z
BLUE SHIELD
CA
Enumeration date
03/12/2007
Last updated
07/07/2025
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