St. Joseph'S Medical Center Of Stockton

LBN: Port City Operating Company, Llc
St. Joseph'S Medical Center Of Stockton is an health care organization with primary practice located at 1800 N California St , Stockton CA 95204-6019. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Suppliers / Durable Medical Equipment & Medical Supplies. Hospitals / General Acute Care Hospital is the primary health care specialty. Port City Operating Company, Llc can be contacted via phone (209) 943-2000, or through Hartmann, Doreen via phone (209) 467-6442.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204-6019
Phone: (209) 943-2000
Fax: (209) 472-8054
Website:
Map and Directions
Authorized official contact:
Name: Hartmann, Doreen
Phone: (209) 467-6442

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 030000284 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 030000284 California

Profile Details

NPI number 1528190931
LBN Legal business name Port City Operating Company, Llc
DBA Doing business as St. Joseph'S Medical Center Of Stockton
Authorized official Hartmann, Doreen
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jan 25th, 2017 - about 9 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 1528190931 NPPES
California Other 651191369952040002 TRICARE
California MEDICAID HSP40084G TRICARE
California Other ZZZA3902Z TRICARE
California Other 300181900 TRICARE
California MEDICAID ZZR00084G TRICARE
California Other 651191369 TRICARE
California MEDICAID HSC00084G TRICARE
California MEDICAID CGP029213 TRICARE

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