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Port City Operating Company, Llc
Psychiatric Hospital in Stockton, California
NPI 1053443473

Port City Operating Company, Llc is a Psychiatric Hospital based in Stockton, CA. Port City Operating Company, Llc practices in Stockton, CA. The NPI Number for Port City Operating Company, Llc is 1053443473 and holds a License No. 030000367 (California).

The current practice location address for Port City Operating Company, Llc is 2510 N California St, Stockton, CA and can be reached out via phone at 209-948-2100 and via fax at 209-472-8054.

Location: 2510 N California St, Stockton, CA, 95213-9008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053443473
Provider Name
Port City Operating Company, Llc
Credential
Provider Entity Type
Organization
Address
2510 N California St, Stockton, CA, 95213-9008
Phone Number
209-948-2100
Fax Number
209-472-8054
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZA3902Z 01 BLUE SHIELD
721561125952040001 01 TRICARE
HSP30201J 05 CA
721561125 01 IRS
HSP40201J 05 CA
institution
Provider Business Practice Location Address Details
Address
2510 N California St
City
Stockton
State
California
Zip
95204-5502
Phone Number
209-948-2100
Fax Number
209-472-8054
person
Provider Business Mailing Address Details
Address
2510 N California St
City
Stockton
State
California
Zip
95204-5502
Phone Number
209-948-2100
Fax Number
209-472-8054
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
030000367 (California)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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