Organization
SEBASTOPOL ASC, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J KAHLE M.D. (CORPORATE OFFICER)
(707) 823-7628
Entity
Organization
Contact information
Practice address
6880 PALM AVE, SEBASTOPOL, CA 95472-4270
(707) 823-7628
(707) 823-1521
Mailing address
6880 PALM AVE, SEBASTOPOL, CA 95472-4270
(707) 823-7628
(707) 823-1521
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
010000189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154440972
MEDICARE NPI
—
01
—
490002015
MEDICARE RET RAILROAD
CA
01
—
551098
BLUE CROSS
CA
05
—
SUR51098F
—
CA
01
—
ZZZH4909Z
BLUE SHIELD
CA
Enumeration date
03/29/2007
Last updated
01/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us