| Stanislaus County Health Services Agency Pediatrics Center | |
|
830 Scenic Dr Ste A Modesto CA 95350-6131 | |
| (209) 558-8400 | |
| (209) 558-8611 |
| Full Name | Stanislaus County Health Services Agency Pediatrics Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 830 Scenic Dr, Modesto, California |
| Authorized Official Name and Position | Mary Ann Lee (MANAGING DIRECTOR) |
| Authorized Official Contact | 2095587163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanislaus County Health Services Agency Pediatrics Center 830 Scenic Dr Ste A Modesto CA 95350-6131 Ph: (209) 558-8400 | Stanislaus County Health Services Agency Pediatrics Center 830 Scenic Dr Ste A Modesto CA 95350-6131 Ph: (209) 558-8400 |
| NPI Number | 1891991741 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 0648183996 |
|---|---|
| Medicare Enrollment ID | O20071016000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891991741 | NPI | - | NPPES |
| FHC70757F | Other | CA | MEDICAL |
| CMM70757F | Other | CA | MEDICAL |
| HAP70757F | Other | CA | FAMILY PACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 | |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 | |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 | |
Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |