Planned Parenthood Mar Monte, Inc | |
1431 Mchenry Ave Suite 100 Modesto CA 95350-4541 | |
(209) 579-2300 | |
(209) 579-1948 |
Full Name | Planned Parenthood Mar Monte, Inc |
---|---|
Speciality | Clinic/center - Community Health |
Location | 1431 Mchenry Ave, Modesto, California |
Authorized Official Name and Position | Tom Motsiff (CFO) |
Authorized Official Contact | 4087953707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Planned Parenthood Mar Monte, Inc 1691 The Alameda San Jose CA 95126-2203 Ph: (408) 795-3600 | Planned Parenthood Mar Monte, Inc 1431 Mchenry Ave Suite 100 Modesto CA 95350-4541 Ph: (209) 579-2300 |
NPI Number | 1154375624 |
---|---|
Provider Enumeration Date | 05/20/2006 |
Last Update Date | 07/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154375624 | NPI | - | NPPES |
CMM70557G | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 030000478 (California) | Primary |
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