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STANISLAUS HEALTH AND WELLNESS INC NPI 1215440631


NPI Information

NPI: 1215440631
Provider Name: STANISLAUS HEALTH AND WELLNESS INC

Doing Business As: 209 URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2151767

Address:
1908 COFFEE RD STE 3
MODESTO, CA
ZIP 95355
Phone: (209) 846-9429
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STANISLAUS HEALTH AND WELLNESS INC is an urgent care clinic center in Modesto, CA. STANISLAUS HEALTH AND WELLNESS INC NPI is 1215440631. The provider is registered as an organization entity type.
The provider Is Doing Business As 209 Urgent Care.

The provider's business location address is:

1908 COFFEE RD STE 3
MODESTO, CA
ZIP 95355
Phone: (209) 846-9429
Fax: (209) 551-1665

The provider's authorized official is George I Jacob .
The authorized official title is President and has the following contact phone number (209) 846-9429.

The CLIA number assigned to this NPI record is 05D2151767 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2017 and was last updated on 12/1/2019.


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
1261QU0200XClinic/CenterUrgent CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447338355OTHERNPI
21225073307OTHERNPI

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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