| County Of Stanislaus | |
|
3109 E Whitmore Ave Ceres CA 95307-2906 | |
| (209) 541-2929 | |
| Not Available |
| Full Name | County Of Stanislaus |
|---|---|
| Speciality | Clinic/center |
| Location | 3109 E Whitmore Ave, Ceres, California |
| Authorized Official Name and Position | Mary Ann Lee (MANAGING DIRECTOR) |
| Authorized Official Contact | 2095587163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Stanislaus 3109 E Whitmore Ave Ceres CA 95307-2906 Ph: (209) 541-2929 | County Of Stanislaus 3109 E Whitmore Ave Ceres CA 95307-2906 Ph: (209) 541-2929 |
| NPI Number | 1952506123 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952506123 | NPI | - | NPPES |
| CMM70758F | Other | CA | MEDICAL |
| HAP70758F | Other | CA | FAMILY PACT |
| FHC70758F | Other | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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