DOCTORS MEDICAL CENTER FOUNDATION NPI 1144435330

NPI Information

NPI: 1144435330
Provider Name: DOCTORS MEDICAL CENTER FOUNDATION

Doing Business As: MILLER'S PLACE ADHC

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
730 MCHENRY AVE
MODESTO, CA
ZIP 95350
Phone: (209) 521-0507
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DOCTORS MEDICAL CENTER FOUNDATION is an adult day care clinic center in Modesto, CA. DOCTORS MEDICAL CENTER FOUNDATION NPI is 1144435330. The provider is registered as an organization entity type.
The provider Is Doing Business As Miller's Place Adhc.

The provider's business location address is:

730 MCHENRY AVE
MODESTO, CA
ZIP 95350-413
Phone: (209) 521-0507
Fax: (209) 521-0694

The provider's authorized official is Carolyn L. Crown .
The authorized official title is Executive Director and has the following contact phone number (209) 527-3412.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ADU70165F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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