Hope Medivan

LBN: Nineveh Outreach
Hope Medivan is an health care organization with primary practice located at 1601 Coffee Rd , Modesto CA 95355-2801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Nineveh Outreach can be contacted via phone (209) 529-7346, or through Canga, Manuel L via phone (209) 529-7346.

Contact Information

Primary practice address
1601 Coffee Rd Modesto CA 95355-2801
Phone: (209) 529-7346
Fax: (209) 529-7034
Website:
Map and Directions
Authorized official contact:
Name: Canga, Manuel L Doctor of Medicine (MD)
Phone: (209) 529-7346

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 550001116 California

Profile Details

NPI number 1366799801
LBN Legal business name Nineveh Outreach
DBA Doing business as Hope Medivan
Authorized official Canga, Manuel L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 14th, 2012
Last updated Aug 14th, 2012 - 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.

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