NPIMap

Organization Active NPI

Employee Assistance Program

  • General Acute Care Hospital
  • Modesto, CA
National Provider Identifier
1760532758
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EMPLOYEE ASSISTANCE PROGRAM
Practice address
1316 Celeste Dr
220
Modesto, CA 95355-2434
Phone
(209) 526-4500
Fax
(209) 569-7386
NPI assigned
Jan 11, 2007
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shelly Sue Edwards, LCSW
Title
Manager
Phone
(209) 526-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1316 Celeste Dr
220
Modesto, CA 95355-2434

Mailing address

1316 Celeste Dr
220
Modesto, CA 95355-2434
Phone (209) 526-4500

Other names 1

  • Memorial Hospitals Association Other name

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1316 Celeste Dr
Ste 220
Modesto, CA 95355
Phone (209) 526-4500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1760532758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 CELESTE DR",
            "address_2": "220",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552434",
            "telephone_number": "209-526-4500",
            "fax_number": "209-569-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 CELESTE DR",
            "address_2": "220",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552434",
            "telephone_number": "209-526-4500",
            "fax_number": "209-569-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYEE ASSISTANCE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-526-4500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospitals Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.