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Organization
ENLOE MEDICAL CENTER
Active
Organization
ENLOE MEDICAL CENTER
Active
Parent organization
ENLOE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENLOE MEDICAL CENTER
Authorized official
MR. MYRON EUGENE MACHULA (VP/CFO)
(530) 332-7357
Entity
Organization
Contact information
Practice address
340 W EAST AVE, CHICO, CA 95926-7238
(530) 893-7300
(530) 893-6853
Mailing address
1531 ESPLANADE, ATTN: FINANCE, CHICO, CA 95926-3310
(530) 332-7479
(530) 893-6853
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
230000027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05T039
MEDICARE ID TYPE UNSPECIFIED
CA
05
—
ZZR00039F
—
CA
Enumeration date
10/23/2006
Last updated
05/28/2014
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