Stanislaus County Health Services Agency Pediatrics Center

LBN: County Of Stanislaus
Stanislaus County Health Services Agency Pediatrics Center is an health care organization with primary practice located at 830 Scenic Dr Ste A, Modesto CA 95350-6131. 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) 558-8400, or through Lee, Mary Ann via phone (209) 558-7163.

Contact Information

Primary practice address
830 Scenic Dr Ste A Modesto CA 95350-6131
Phone: (209) 558-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Mary Ann
Phone: (209) 558-7163

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1891991741
LBN Legal business name County Of Stanislaus
DBA Doing business as Stanislaus County Health Services Agency Pediatrics Center
Authorized official Lee, Mary Ann
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891991741 NPPES
California Other FHC70757F MEDICAL
California Other CMM70757F MEDICAL
California Other HAP70757F MEDICAL

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