Organization
COUNTY OF SAN JOAQUIN
Active
Other names
San Joaquin General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS ROBERTS (CHIEF FINANCIAL OFFICER)
(209) 468-6600
Entity
Organization
Contact information
Practice address
500 W. HOSPITAL RD., FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030000087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZR00167W
MEDI-CAL NON CONTRACT #
CA
Enumeration date
11/16/2006
Last updated
06/02/2021
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