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COUNTY OF STANISLAUS NPI 1891991741


NPI Information

NPI: 1891991741
Provider Name: COUNTY OF STANISLAUS

Doing Business As: STANISLAUS COUNTY HEALTH SERVICES AGENCY PEDIATRICS CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D1009062

Address:
830 SCENIC DR
STE A
MODESTO, CA
ZIP 95350
Phone: (209) 558-8400
Get Directions

COUNTY OF STANISLAUS is a clinic center in Modesto, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COUNTY OF STANISLAUS NPI is 1891991741. The provider is registered as an organization entity type.
The provider Is Doing Business As Stanislaus County Health Services Agency Pediatrics Center.

The provider's business location address is:

830 SCENIC DR
STE A
MODESTO, CA
ZIP 95350-131
Phone: (209) 558-8400

The provider's authorized official is Mary Ann Lee .
The authorized official title is Managing Director and has the following contact phone number (209) 558-7163.

The CLIA number assigned to this NPI record is 05D1009062 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/26/2007 and was last updated on 3/17/2008.


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
1261Q00000XClinic/CenterYes

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
1HAP70757FOTHERCALIFORNIAFAMILY PACT
2FHC70757FOTHERCALIFORNIAMEDICAL
3CMM70757FOTHERCALIFORNIAMEDICAL
4051122MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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