Organization
ENLOE MEDICAL CENTER
Active
Parent organization
ENLOE MEDICAL CENTER
Other names
Enloe Wound/Ostomy & Hyperbaric Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENLOE MEDICAL CENTER
Authorized official
KEVIN WOODWARD (CFO/VP)
(530) 332-6733
Entity
Organization
Contact information
Practice address
1026 MANGROVE AVE STE 10, CHICO, CA 95926-3556
(530) 332-7144
(530) 893-6950
Mailing address
1531 ESPLANADE, ATTN: FINANCE, CHICO, CA 95926-3310
(530) 332-7300
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
230000027
CA
2086S0129X
Vascular Surgery Physician
230000027
CA
Other
Enumeration date
04/01/2016
Last updated
04/03/2023
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