Provider Demographics
NPI:1467702514
Name:EMANUEL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:EMANUEL MEDICAL CENTER, INC.
Other - Org Name:EMANUEL FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEAPOLITAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-664-5000
Mailing Address - Street 1:825 DELBON AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2016
Mailing Address - Country:US
Mailing Address - Phone:209-664-5000
Mailing Address - Fax:209-664-5007
Practice Address - Street 1:1010 W LAS PALMAS AVE
Practice Address - Street 2:SUITE E
Practice Address - City:PATTERSON
Practice Address - State:CA
Practice Address - Zip Code:95363-8873
Practice Address - Country:US
Practice Address - Phone:209-895-7100
Practice Address - Fax:209-895-7107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMANUEL MEDICAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA030000035282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital