Organization
COURT STREET SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JOY KUROSAKA RN (NURSE ADMINISTRATOR)
(530) 246-4444
Entity
Organization
Contact information
Practice address
2184 COURT ST, REDDING, CA 96001-2530
(530) 246-4444
(530) 246-4445
Mailing address
2184 COURT ST, REDDING, CA 96001-2530
(530) 246-4444
(530) 246-4445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051493
BLUE CROSS
CA
01
—
P00081850
RAILROAD MEDICARE
CA
05
—
SUR01493G
—
CA
01
—
ZZZH4506Z
BLUE SHIELD
CA
Enumeration date
07/19/2005
Last updated
12/14/2007
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