Organization
ENLOE MEDICAL CENTER
Active
Parent organization
ENLOE MEDICAL CENTER
Other names
Enloe Cardiology Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENLOE MEDICAL CENTER
Authorized official
MR. KEVIN WOODWARD (VP/CFO)
(530) 332-6733
Entity
Organization
Contact information
Practice address
185 E 7TH AVE STE A, CHICO, CA 95926-3356
(530) 332-4400
Mailing address
1531 ESPLANADE, ATTN: FINANCE, CHICO, CA 95926-3310
(530) 332-7300
(530) 893-6853
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C40478
MEDICARE RAILROAD
CA
01
—
CK2203
MEDICARE RAILROAD
CA
05
—
HSP40039F
—
CA
Enumeration date
08/10/2006
Last updated
08/29/2022
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