Mid Valley Health Services Long Term Care Inc in Modesto - Long Term Care Pharmacy
Mid Valley Health Services Long Term Care Inc - NPI 1760658553
Mid Valley Health Services Long Term Care Inc is a Long Term Care Pharmacy in Modesto, California. Mid Valley Health Services Long Term Care Inc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Mid Valley Health Services Long Term Care Inc is 1760658553. The last update date is 2016-09-21.
Mid Valley Health Services Long Term Care Inc's current location address is 602 Scenic Dr, Modesto, California. You can contact this provider via phone number 2095527600 and fax number 2095527638. The mailing address for Mid Valley Health Services Long Term Care Inc is 602 Scenic Dr, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mid Valley Health Services Long Term Care Inc |
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Address | 602 Scenic Dr, Modesto, California |
Phone Number | 2095527600 |
Fax Number | 2095527638 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | COO |
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Authorized Official Name | Stoll Harold |
Telephone Number | 2095527600 |
NPI Number Detail
NPI Number | 1760658553 |
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Provider Enumeration Date | 2008-05-01 |
Last Updated Date | 2016-09-21 |
Provider Mailing Address Detail
Address | 602 Scenic Dr |
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City | Modesto |
State | California (CA) |
Post Code | 953506128 |
Phone Number | 2095527600 |
Fax Number | 2095527638 |
Provider's Primary Taxonomy Detail
Speciality | Long Term Care Pharmacy |
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Taxonomy | 3336L0003X |
Licence No | PHY49880 |
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2113493 | PK |
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What is the unique identification code assigned to Mid Valley Health Services Long Term Care Inc by the Centers for Medicare & Medicaid Services?
The Mid Valley Health Services Long Term Care Inc has been issued the NPI (National Provider Identifier) 1760658553. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mid Valley Health Services Long Term Care Inc located?
The Mid Valley Health Services Long Term Care Inc is located at 602 Scenic Dr, Modesto, CA 953506128.
What is Mid Valley Health Services Long Term Care Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mid Valley Health Services Long Term Care Inc's area of specialization is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336L0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760658553 to Mid Valley Health Services Long Term Care Inc?
The Centers for Medicare & Medicaid Services originally issued the 1760658553 to Mid Valley Health Services Long Term Care Inc on 2008-05-01.
When was the Mid Valley Health Services Long Term Care Inc's information last updated?
The Mid Valley Health Services Long Term Care Inc's information was last updated on 2016-09-21.
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