Organization
MID VALLEY HEALTH SERVICES LONG TERM CARE INC
Active
Other names
MID VALLEY HEALTH SERVICES LONG TERM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD STOLL (COO)
(209) 552-7600
Entity
Organization
Contact information
Practice address
602 SCENIC DR, MODESTO, CA 95350-6128
(209) 552-7600
(209) 552-7638
Mailing address
602 SCENIC DR, MODESTO, CA 95350-6128
(209) 552-7600
(209) 552-7638
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY49880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113493
PK
—
Enumeration date
05/01/2008
Last updated
09/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us