Memorial Medical Center

LBN: Sutter Central Valley Hospitals
Memorial Medical Center is an health care organization with primary practice located at 1700 Coffee Rd , Modesto CA 95355-2803. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Laboratories / Clinical Medical Laboratory. Hospitals / General Acute Care Hospital is the primary health care specialty. Sutter Central Valley Hospitals can be contacted via phone (209) 526-4500, or through Gates, John via phone (510) 450-7357.

Contact Information

Primary practice address
1700 Coffee Rd Modesto CA 95355-2803
Phone: (209) 526-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gates, John
Phone: (510) 450-7357

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 030000061 California
Laboratories / Clinical Medical Laboratory 291U00000X 05D0609849 California

Profile Details

NPI number 1629059746
LBN Legal business name Sutter Central Valley Hospitals
DBA Doing business as Memorial Medical Center
Authorized official Gates, John
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Apr 21st, 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 1629059746 NPPES
California MEDICAID MTA00603F
California MEDICAID ZZR00154F
California MEDICAID HSC00557F
California MEDICAID HSP40557F
California MEDICAID ZZR00603F

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