Organization
ENLOE MEDICAL CENTER
Active
Other names
ENLOE DME
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON MACHULA (VP/CFO)
(530) 332-6353
Entity
Organization
Contact information
Practice address
1390 E LASSEN AVE, CHICO, CA 95973-7823
(530) 332-6337
(530) 893-6936
Mailing address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-6337
(530) 893-6936
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01959F
—
CA
Enumeration date
10/23/2006
Last updated
11/19/2010
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