Stockton Edison Healthcare Corporation in Stockton - Skilled Nursing Facility
Stockton Edison Healthcare Corporation - NPI 1548283542
Stockton Edison Healthcare Corporation is a Skilled Nursing Facility in Stockton, California. Stockton Edison Healthcare Corporation practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Stockton Edison Healthcare Corporation is 1548283542. The last update date is 2011-11-29.
Stockton Edison Healthcare Corporation's current location address is 1630 N. Edison Street, Stockton, California. You can contact this provider via phone number 2099488762 and fax number 8185417072. The mailing address for Stockton Edison Healthcare Corporation is 1630 N. Edison Street, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stockton Edison Healthcare Corporation |
|---|---|
| Address | 1630 N. Edison Street, Stockton, California |
| Phone Number | 2099488762 |
| Fax Number | 8185417072 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bernabe Demesa Praxedes |
| Credentials | NHA |
| Telephone Number | 2099488762 |
NPI Number Detail
| NPI Number | 1548283542 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2011-11-29 |
Provider Mailing Address Detail
| Address | 1630 N. Edison Street |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 95204 |
| Phone Number | 2099488762 |
| Fax Number | 8185417072 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 230000012 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZR05039J | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stockton Edison Healthcare Corporation by the Centers for Medicare & Medicaid Services?
The Stockton Edison Healthcare Corporation has been issued the NPI (National Provider Identifier) 1548283542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Stockton Edison Healthcare Corporation is geographically located?
The Stockton Edison Healthcare Corporation is physically situated at the following location: 1630 N. Edison Street, Stockton, CA, 95204.
What is Stockton Edison Healthcare Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stockton Edison Healthcare Corporation's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
When was the Stockton Edison Healthcare Corporation's 1548283542 issued?
The Stockton Edison Healthcare Corporation's 1548283542 was issued on 2006-07-25.
As of what date was the information regarding Stockton Edison Healthcare Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stockton Edison Healthcare Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-29.
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