# SKYWAY SURGERY CENTER. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366456618
- **Authorized official:** JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 121 RALEY BLVD, CHICO, CA 95928-8347
- **Practice address phone:** (530) 230-2000
- **Practice address fax:** (530) 898-8142
- **Mailing address:** 121 RALEY BLVD, CHICO, CA 95928-8347
- **Mailing address phone:** (530) 230-2000
- **Mailing address fax:** (530) 898-8142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23000358 | CA | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 02/08/2023