Organization · Type 2 NPI
Nineveh Outreach
Clinic/Center · Modesto, CA
NPI number
1366799801
Active
Practice location
1601 Coffee Rd
Modesto, CA 95355-2801
Fax (209) 529-7034
Mailing address
PO Box 578901
Modesto, CA 95357-8901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 550001116 (CA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1366799801
Nineveh Outreach's National Provider Identifier is 1366799801, issued on Aug 14, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 14, 2012.