Organization
UKIAH SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WOOD (DIRECTOR)
(828) 236-3027
Entity
Organization
Contact information
Practice address
271 OBSERVATORY AVE, UKIAH, CA 95482-5757
(707) 467-2120
Mailing address
271 OBSERVATORY AVE, UKIAH, CA 95482-5757
(707) 467-2120
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0110000321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR 01374 F
—
CA
Enumeration date
04/21/2006
Last updated
08/31/2007
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