West Modesto Community Center Mat

LBN: Stanislaus County
West Modesto Community Center Mat is an health care organization with primary practice located at 401 Paradise Rd , Modesto CA 95351-3104. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Stanislaus County can be contacted via phone (209) 558-5142, or through Hunt, Denise C via phone (209) 525-6225.

Contact Information

Primary practice address
401 Paradise Rd Modesto CA 95351-3104
Phone: (209) 558-5142
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hunt, Denise C RN, MFT
Phone: (209) 525-6225

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174652366
LBN Legal business name Stanislaus County
DBA Doing business as West Modesto Community Center Mat
Authorized official Hunt, Denise C RN, MFT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1174652366 NPPES
California MEDICAID 50AZ

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