MEDICARE: EMANUEL MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	030000035	CA

General Provider Information

NPI Number	:	1467702514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMANUEL MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	825 DELBON AVE
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-2016
Country	:	US
Telephone Number	:	209-664-5000
Fax Number	:	209-664-5007

Provider Business Practice Location Address
First Line	:	1010 W LAS PALMAS AVE
Second Line	:	SUITE E
City	:	PATTERSON
State	:	CA
Zip	:	95363-8873
Country	:	US
Telephone Number	:	209-895-7100
Fax Number	:	209-895-7107

Authorized Official
Title or Position	:	CFO
Name	:	MR. DAVID A. NEAPOLITAN
Credential	:
Telephone Number	:	209-664-5000

Provider Enumeration Date	:	09/17/2012
Last Update Date	:	09/17/2012

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