Fee For Service - Mixed Specialty Group

LBN: Stanislaus County
Fee For Service - Mixed Specialty Group is an health care organization with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Stanislaus County can be contacted via phone (209) 558-4752, or through Hunt, Denise C via phone (209) 525-6225.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (209) 558-4752
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hunt, Denise C RN,MFT
Phone: (209) 525-6225

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1972714301
LBN Legal business name Stanislaus County
DBA Doing business as Fee For Service - Mixed Specialty Group
Authorized official Hunt, Denise C RN,MFT
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972714301 NPPES
California MEDICAID 5059

Popular Providers