Kim Dale Goodrum in Modesto - Psychiatric/mental Health

What is the unique identifier code issued to Kim Dale Goodrum by the Centers for Medicare & Medicaid Services (CMS)?

The Kim Dale Goodrum has been assigned the NPI (National Provider Identifier) 1558520114. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Kim Dale Goodrum's physical address?

The Kim Dale Goodrum is physically located at 825 Palmilla Dr, in the city of Modesto, CA, with the postal code 953561152.

What is Kim Dale Goodrum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kim Dale Goodrum is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 163Wp0808X.

On what date did Kim Dale Goodrum receive its 1558520114 assignment from the Centers for Medicare & Medicaid Services?

The Kim Dale Goodrum was assigned its 1558520114 on 2008-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kim Dale Goodrum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kim Dale Goodrum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-08.

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