Organization
COUNTY OF STANISLAUS
Active
Parent organization
STANISLAUS COUNTY HEALTH SERVICES AGENCY
Other names
Stanislaus County Health Services Agency Pediatrics Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANISLAUS COUNTY HEALTH SERVICES AGENCY
Authorized official
HEATHER DUVALL (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
830 SCENIC DR, STE A, MODESTO, CA 95350-6131
(209) 558-8400
(209) 558-8611
Mailing address
830 SCENIC DR, STE A, MODESTO, CA 95350-6131
(209) 558-8400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM70757F
MEDICAL
CA
01
—
FHC70757F
MEDICAL
CA
01
—
HAP70757F
FAMILY PACT
CA
Enumeration date
06/26/2007
Last updated
11/21/2025
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