Organization
COURTYARD SURGERY PAVILION, INC
Active
Other names
Courtyard Surgery Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAN HARRISON FEIL M.D. (PRESIDENT/MEDICAL DIRECTOR)
(559) 733-4399
Entity
Organization
Contact information
Practice address
112 N AKERS ST, SUITE B, VISALIA, CA 93291-5121
(559) 733-4399
(559) 733-1758
Mailing address
112 N AKERS ST, SUITE B, VISALIA, CA 93291-5121
(559) 733-4399
(559) 733-1758
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05C0001753
CMS NUMBER
—
01
—
1942205240
STAN H. FEIL, M.D. (NPI)
—
01
—
2732566
ARTICLES OF INCORPORATION
CA
01
—
550000162
STATE LICENSE NUMBER
CA
01
—
BL018923
BUSINESS TAX CERTIFICATE
CA
01
—
CLN 1607
PHARMACY CLINIC PERMIT
CA
01
—
FNP 33532
FICTITIOUS NAME PERMIT
CA
01
—
P00334549
MEDICARE RAILROAD #
—
05
—
SUR01753F
—
CA
01
—
ZZZH5408Z
TRICARE PROVIDER#
CA
Enumeration date
03/29/2006
Last updated
04/23/2025
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