Stanislaus County Health Services Agency Mchenry Medical Office
LBN: County Of Stanislaus
Stanislaus County Health Services Agency Mchenry Medical Office is an health care organization with primary practice located at 1209 Woodrow Ave Ste. B-10, Modesto CA 95350-1288. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
County Of Stanislaus can be contacted via phone (209) 558-5312, or through Lee, Mary Ann via phone (209) 558-7163.
Contact Information
Primary practice address
1209 Woodrow Ave Ste. B-10
Modesto CA 95350-1288
Phone: (209) 558-5312
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
NPI number | 1093910275 |
---|---|
LBN Legal business name | County Of Stanislaus |
DBA Doing business as | Stanislaus County Health Services Agency Mchenry Medical Office |
Authorized official | Lee, Mary Ann |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 18th, 2007 |
Last updated | Mar 17th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093910275 | NPPES |
California | Other | CMM70751F | MEDICAL |
California | Other | FHC70751F | MEDICAL |
California | Other | HAP70751F | MEDICAL |
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