Organization
NORTH STATE SURGERY CENTERS, LP
Active
Other names
Mercy 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
2175 ROSALINE AVE, STE A, REDDING, CA 96001-2549
(530) 225-7400
(530) 225-7405
Mailing address
2175 ROSALINE AVE, STE A, REDDING, CA 96001-2549
(530) 225-7400
(530) 225-7405
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
230000354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00094713
RAILROAD MEDICARE
CA
05
—
SUR01643F
—
CA
Enumeration date
03/12/2008
Last updated
10/14/2024
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