Organization
COUNTY OF STANISLAUS
Active
Parent organization
COUNTY OF STANISLAUS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF STANISLAUS
Authorized official
MARISOL MARIN (CALAIM TRANSFORMATION MANAGER)
(209) 652-3805
Entity
Organization
Contact information
Practice address
2215 BLUE GUM AVE, MODESTO, CA 95358-1052
(209) 652-3805
(209) 652-3805
Mailing address
2215 BLUE GUM AVE, MODESTO, CA 95358-1052
(209) 652-3805
(209) 652-3805
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
11/06/2025
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