Organization
DOCTORS MEDICAL CENTER OF MODESTO, INC.
Active
Parent organization
DOCTORS MEDICAL CENTER OF MODESTO, INC.
Other names
Doctors Behavioral Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOCTORS MEDICAL CENTER OF MODESTO, INC.
Authorized official
GREG BERRY (CFO)
(209) 576-3790
Entity
Organization
Contact information
Practice address
1501 CLAUS RD, MODESTO, CA 95355-9711
(209) 558-4700
Mailing address
PO BOX 57376, LOS ANGELES, CA 90074-7377
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5036
—
CA
05
—
HSC30464H
—
CA
05
—
HSP40464H
—
CA
Enumeration date
03/05/2007
Last updated
03/23/2022
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