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Organization

ENLOE MEDICAL CENTER

Active
Parent organization
ENLOE MEDICAL CENTER
Other names
Enloe Prompt Care, Enloe Prompt Care Clinics
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENLOE MEDICAL CENTER
Authorized official
KEVIN WOODWARD (VP/CFO)
(530) 332-6733
Entity
Organization

Contact information

Practice address
888 LAKESIDE VLG CMNS, CHICO, CA 95928-3979
(530) 332-6850
Mailing address
1531 ESPLANADE, ATTN: FINANCE, CHICO, CA 95926-3310
(530) 332-7479
(530) 893-6853

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C40478
MEDICARE RAILROAD
CA
01
CK2203
MEDICARE RAILROAD
CA
05
HSP40039F
CA
Enumeration date
08/04/2006
Last updated
08/03/2021
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