Organization
SKYWAY SURGERY CENTER. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
121 RALEY BLVD, CHICO, CA 95928-8347
(530) 230-2000
(530) 898-8142
Mailing address
121 RALEY BLVD, CHICO, CA 95928-8347
(530) 230-2000
(530) 898-8142
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23000358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23000358
STATE LICENSE
CA
05
—
SUR01663F
—
CA
Enumeration date
07/29/2006
Last updated
02/08/2023
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