# UKIAH SURGERY CENTER LP

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

## Provider details

- **NPI number:** 1568428456
- **Authorized official:** KIMBERLY WOOD (DIRECTOR)
- **Authorized official phone:** (828) 236-3027

## Contact information

- **Practice address:** 271 OBSERVATORY AVE, UKIAH, CA 95482-5757
- **Practice address phone:** (707) 467-2120
- **Mailing address:** 271 OBSERVATORY AVE, UKIAH, CA 95482-5757
- **Mailing address phone:** (707) 467-2120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0110000321 | CA | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 08/31/2007