Organization
COUNTY OF SAN JOAQUIN
Active
Other names
San Joaquin General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHEELA KAPRE MD, FCCP, FACP (CHIEF MEDICAL OFFICER)
(209) 468-6600
Entity
Organization
Contact information
Practice address
500 W. HOSPITAL RD., FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7043
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030000087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSC00167F
MEDI-CAL 1 O PT
CA
01
—
HSC00167W
MEDI-CAL 2 I PT
CA
01
—
HSP40167F
MEDI-CAL 1 O PT
CA
01
—
HSP40167W
MEDI-CAL 2 O PT
CA
01
—
ZZR00167F
MEDI-CAL 1 I PT NON CON
CA
01
—
ZZR00167W
MEDI-CAL 2 I PT NCON
CA
Enumeration date
06/15/2006
Last updated
08/24/2022
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