Memorial Medical Center Outpatient Pharm
LBN: Sutter Central Valley Hospitals
Memorial Medical Center Outpatient Pharm is an health care organization with primary practice located at 1800 Coffee Rd Suite 110, Modesto CA 95355-2705. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty.
Sutter Central Valley Hospitals can be contacted via phone (209) 572-7132, or through Breshears, James via phone (209) 569-7352.
Contact Information
Primary practice address
1800 Coffee Rd Suite 110
Modesto CA 95355-2705
Phone: (209) 572-7132
Fax: (209) 572-7077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Institutional Pharmacy | 3336I0012X | HSP37596 | California |
Profile Details
| NPI number | 1043246747 |
|---|---|
| LBN Legal business name | Sutter Central Valley Hospitals |
| DBA Doing business as | Memorial Medical Center Outpatient Pharm |
| Authorized official | Breshears, James PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Oct 6th, 2010 - about 14 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 | 1043246747 | NPPES |
| Other | 0538009 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHB375960 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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