Providence Family Practice Medical Group - Primary Care in Modesto, CA

Providence Family Practice Medical Group is a primary clinic (Family Medicine) in Modesto, California. The current practice location for Providence Family Practice Medical Group is 1213 Coffee Rd, Suite B, Modesto, California. For appointments, you can reach them via phone at (209) 491-2500. The mailing address for Providence Family Practice Medical Group is 1213 Coffee Rd, Suite B, Modesto, California and phone number is (209) 491-2500.

Providence Family Practice Medical Group is licensed to practice in * (Not Available) (license number ) and its NPI number is 1104979582. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (209) 491-2500.

Contact Information

Providence Family Practice Medical Group
1213 Coffee Rd
Suite B
Modesto
CA 95355-4229
(209) 491-2500
(209) 491-2545

Primary Care Clinic Profile

Full NameProvidence Family Practice Medical Group
SpecialityFamily Medicine
Location1213 Coffee Rd, Modesto, California
Authorized Official Name and PositionKathie Lee Cronin (MANAGING PARTNER)
Authorized Official Contact2094912500
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence Family Practice Medical Group
1213 Coffee Rd
Suite B
Modesto
CA 95355-4229

Ph: (209) 491-2500
Providence Family Practice Medical Group
1213 Coffee Rd
Suite B
Modesto
CA 95355-4229

Ph: (209) 491-2500

NPI Details:

NPI Number1104979582
Provider Enumeration Date01/19/2007
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Providence Family Practice Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104979582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

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Family Medicine in Modesto, CA

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