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Organization

EMPIRE SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDY REED (CREDENTIALING/BILLING MANAGER)
(661) 843-7612
Entity
Organization

Contact information

Practice address
4101 EMPIRE DRIVE, SUITE 130, BAKERSFIELD, CA 93309
(661) 325-1900
(661) 325-1960
Mailing address
4101 EMPIRE DRIVE, SUITE 130, BAKERSFIELD, CA 93309
(661) 325-1900
(661) 325-1960

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
Z18704
CA
261QA1903X
Ambulatory Surgical Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
490005547
MEDICARE RAILROAD
CA
05
SUR01478G
CA
Enumeration date
08/16/2006
Last updated
07/08/2024
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