Modesto Gospel Mission

LBN: Modesto Gospel Mission
Modesto Gospel Mission is an health care organization with primary practice located at 1400 Yosemite Blvd , Modesto CA 95354-2840. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Lodging, Agencies / Case Management, Hospitals / Religious Nonmedical Health Care Institution. Other Service Providers / Lodging is the primary health care specialty. Modesto Gospel Mission can be contacted via phone (209) 529-8259, or through Conway, Jason Allen via phone (209) 225-2905.

Contact Information

Primary practice address
1400 Yosemite Blvd Modesto CA 95354-2840
Phone: (209) 529-8259
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Conway, Jason Allen
Phone: (209) 225-2905

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Hospitals / Religious Nonmedical Health Care Institution 282J00000X

Profile Details

NPI number 1720796907
LBN Legal business name Modesto Gospel Mission
DBA Doing business as
Authorized official Conway, Jason Allen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2022
Last updated Nov 7th, 2022 - 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.

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