Memorial Medical Center Opt Pharmacy
LBN: Sutter Central Valley Hospitals
Memorial Medical Center Opt Pharmacy is an health care organization with primary practice located at 1800 Coffee Road Ste. 110, Modesto CA 95355-2803. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Infusion, Hospitals / General Acute Care Hospital, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Hospitals / General Acute Care Hospital is the primary health care specialty.
Sutter Central Valley Hospitals can be contacted via phone (209) 569-7642, or through Hunter, Brian Trent via phone (916) 297-8555.
Contact Information
Primary practice address
1800 Coffee Road Ste. 110
Modesto CA 95355-2803
Phone: (209) 569-7642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Infusion | 251F00000X | HSP37596 | California |
| Hospitals / General Acute Care Hospital | 282N00000X | 030000061 | California |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | HSP37596 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | HSP37596 | California |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | HSP37596 | California |
Profile Details
| NPI number | 1407898265 |
|---|---|
| LBN Legal business name | Sutter Central Valley Hospitals |
| DBA Doing business as | Memorial Medical Center Opt Pharmacy |
| Authorized official | Hunter, Brian Trent |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 2nd, 2013 - about 11 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 | 1407898265 | NPPES |
| Other | 050557 | BLUE CROSS | |
| MEDICAID | PHB375960 | BLUE CROSS | |
| Other | 0538009 | BLUE CROSS | |
| Other | 0538009 | BLUE CROSS |
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