Organization
MERCY SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA BANISTER (ADMINISTRATOR)
(530) 225-7400
Entity
Organization
Contact information
Practice address
2175 ROSALINE AVE, STE A, REDDING, CA 96001-2509
(530) 225-7400
(530) 225-7405
Mailing address
2175 ROSALINE AVE, STE A, REDDING, CA 96001-2509
(530) 225-7400
(530) 225-7405
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01643F
—
CA
Enumeration date
05/27/2005
Last updated
08/22/2020
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