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SAN JOAQUIN NPI 1942584354


NPI Information

NPI: 1942584354
Provider Name: SAN JOAQUIN
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
7000 MICHAEL CANLIS WAY
FRENCH CAMP, CA
ZIP 95231
Phone: (209) 468-5129
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SAN JOAQUIN is an intermediate care facility mental illness in French Camp, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. SAN JOAQUIN NPI is 1942584354. The provider is registered as an organization entity type.

The provider's business location address is:

7000 MICHAEL CANLIS WAY
FRENCH CAMP, CA
ZIP 95231-781
Phone: (209) 468-5129
Fax: (209) 468-5184

The provider's authorized official is Belinda Graham .
The authorized official title is Senior Psychiatric Technician and has the following contact phone number (209) 468-5129.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310500000XIntermediate Care Facility, Mental IllnessPT30322CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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