Organization
SACRAMENTO SURGERY CENTER ASSOCIATES, L P
Active
Other names
Capitol City Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY HEATON (CEO, SSCD)
(916) 566-4907
Entity
Organization
Contact information
Practice address
1800 TRIBUTE RD, STE 100, SACRAMENTO, CA 95815-4314
(916) 925-2700
(916) 925-2210
Mailing address
1800 TRIBUTE RD, STE 100, SACRAMENTO, CA 95815-4314
(916) 925-2700
(916) 925-2210
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
030000780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801635F
BLUE SHIELD
—
01
—
AS1635
BLUE CROSS
—
05
—
SUR01635F
—
CA
Enumeration date
06/13/2005
Last updated
04/17/2024
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