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Nineveh Outreach
Clinic/Center in Modesto, California
NPI 1366799801

Nineveh Outreach is a Clinic/Center based in Modesto, CA. Nineveh Outreach practices in Modesto, CA. The NPI Number for Nineveh Outreach is 1366799801 and holds a License No. 550001116 (California).

The current practice location address for Nineveh Outreach is 1601 Coffee Rd, Modesto, CA and can be reached out via phone at 209-529-7346 and via fax at 209-529-7034. You can also correspond with Nineveh Outreach through the mailing address at PO BOX 578901, MODESTO, CA - 95357-8901 (mailing address contact number: 209-529-7346).

Location: 1601 Coffee Rd, Modesto, CA, 95357-8901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366799801
Provider Name
Nineveh Outreach
Credential
Provider Entity Type
Organization
Address
1601 Coffee Rd, Modesto, CA, 95357-8901
Phone Number
209-529-7346
Fax Number
209-529-7034
Provider Enumeration Date
08/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 Coffee Rd
City
Modesto
State
California
Zip
95355-2801
Phone Number
209-529-7346
Fax Number
209-529-7034
person
Provider Business Mailing Address Details
Address
1601 Coffee Rd
City
Modesto
State
California
Zip
95355-2801
Phone Number
209-529-7346
Fax Number
209-529-7034
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
550001116 (California)
Definition
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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