Organization
COUNTY OF STANISLAUS
Active
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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