Healthcare Provider Details

I. General information

NPI: 1518271782
Provider Name (Legal Business Name): EMANUEL MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2010
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 E TUOLUMNE RD SUITE 201
TURLOCK CA
95382-1548
US

IV. Provider business mailing address

825 DELBON AVE ATTN. CLINIC ADMINISTRATION
TURLOCK CA
95382-2016
US

V. Phone/Fax

Practice location:
  • Phone: 209-664-5070
  • Fax:
Mailing address:
  • Phone: 209-664-5000
  • Fax: 209-664-5007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number030000035
License Number StateCA

VIII. Authorized Official

Name: DAVID NEAPOLITAN
Title or Position: CFO
Credential:
Phone: 209-664-5000