Organization
NORTH STATE SURGERY CENTERS LP
Active
Other names
Court Street Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
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
230000328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00081850
RAILROAD MEDICARE
CA
05
—
SUR01493G
—
CA
Enumeration date
03/12/2008
Last updated
10/14/2024
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