St. Joseph'S Behavioral Health Center

LBN: Port City Operating Company, Llc
St. Joseph'S Behavioral Health Center is an health care organization with primary practice located at 2510 N California St , Stockton CA 95204-5502. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Port City Operating Company, Llc can be contacted via phone (209) 948-2100, or through Hartmann, Doreen via phone (209) 467-6442.

Contact Information

Primary practice address
2510 N California St Stockton CA 95204-5502
Fax: (209) 472-8054
Website:
Authorized official contact:
Name: Hartmann, Doreen

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 030000367 California

Profile Details

NPI number 1053443473
LBN Legal business name Port City Operating Company, Llc
DBA Doing business as St. Joseph'S Behavioral Health Center
Authorized official Hartmann, Doreen
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 12th, 2007
Last updated Dec 6th, 2016 - about 8 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 1053443473 NPPES
Other ZZZA3902Z BLUE SHIELD
Other 721561125952040001 BLUE SHIELD
MEDICAID HSP30201J BLUE SHIELD
Other 721561125 BLUE SHIELD
MEDICAID HSP40201J BLUE SHIELD

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