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HOPE MEDIVAN
NPI 1366799801
Clinic/Center in Modesto, CA

Active since August 14, 2012
1601 COFFEE RD, MODESTO, CA 95355(209) 529-7346(209) 529-7034 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hope Medivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOPE MEDIVAN (NPI 1366799801) is a healthcare organization registered as a clinic/center in Modesto, California and active in the NPI registry since August 2012. The organization lists Manuel L Canga, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366799801
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNINEVEH OUTREACH
Location Address1601 COFFEE RDModesto, CA 95355-2801
Mailing AddressPo Box 578901Modesto, CA 95357-8901 · (209) 529-7346 · Fax (209) 529-7034
Phone(209) 529-7346
Fax(209) 529-7034
Organization SubpartYesParent: Calvary Temple Worship Center
Authorized OfficialManuel L CangaMedical Director · (209) 529-7346
Enumeration DateAugust 14, 2012
✔ NPI 1366799801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 550001116
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).
1601 COFFEE RD, Modesto, CA 95355
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Other Names 1

Doing Business AsHope Medivan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nineveh Outreach's NPI number?

The NPI number for Nineveh Outreach is 1366799801. It was assigned to this organization in the NPPES registry on August 14, 2012. The provider is doing business as Hope Medivan.

Where is Nineveh Outreach located?

Nineveh Outreach is located at 1601 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 529-7346.

What is Nineveh Outreach's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Nineveh Outreach was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.