Organization
COUNTY OF STANISLAUS
Active
Other names
Stanislaus County Health Services Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN LEE (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
830 SCENIC DR, MODESTO, CA SUITE B, MODESTO, CA 95350-6131
(209) 558-7000
(209) 558-8611
Mailing address
830 SCENIC DR, MODESTO, CA SUITE B, MODESTO, CA 95350-6131
(209) 558-7000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP18531F
BCEDP
CA
01
—
CE0652
MEDICARE RAILROAD
—
01
—
CMM70751F
MEDICAL PROVIDER NUMBER
CA
01
—
CMM70753F
MEDICAL PROVIDER NUMBER
CA
01
—
CMM70757F
MEDICAL PROVIDER NUMBER
CA
01
—
CMM70758F
MEDICAL PROVIDER NUMBER
CA
01
—
CMM70759F
MEDICAL PROVIDER NUMBER
CA
01
—
CMM70760F
MEDICAL PROVIDER NUMBER
CA
01
—
CMM70762F
MEDICAL PROVIDER NUMBER
CA
01
—
EXE70074F
MEDICAL PROVIDER NUMBER
CA
01
—
GR0081280
MEDICAL GROUP PROVIDER N.
CA
01
—
HAP18531F
MEDICAL
CA
01
—
LAB10463F
MEDICAL
CA
01
—
RHM18531F
MEDICAL PROVIDER NUMBER
CA
01
—
ZZR11501F
MEDICAL PROVIDER NUMBER
CA
Enumeration date
07/14/2006
Last updated
10/03/2024
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