# PAVILION SURGICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1790969301
- **Authorized official:** MR. ROBERT E MCCARVILLE (ADMINISTRATOR)
- **Authorized official phone:** (417) 889-2040

## Contact information

- **Practice address:** 245 HOSPITAL DR., 100, UKIAH, CA 95482
- **Practice address phone:** (707) 462-4905
- **Mailing address:** 245 HOSPITAL DR., 100, UKIAH, CA 95482
- **Mailing address phone:** (707) 462-4905

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 02/09/2009