Organization
CHICO SURGERY CENTER LP
Active
Other names
Chico Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (MEDICARE AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
615 W EAST AVE, CHICO, CA 95926-7201
(530) 895-1800
(530) 895-1877
Mailing address
615 W EAST AVE, CHICO, CA 95926-7201
(530) 895-1800
(530) 895-1877
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
230000315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490004633
RAILROAD MEDICARE
CA
05
—
SUR01453G
—
CA
Enumeration date
07/20/2005
Last updated
12/17/2015
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