Organization
ENLOE MEDICAL CENTER
Active
Parent organization
ENLOE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENLOE MEDICAL CENTER
Authorized official
MR. MYRON EUGENE MACHULA (VP/CFO)
(530) 332-7357
Entity
Organization
Contact information
Practice address
340 W EAST AVE, CHICO, CA 95926-7238
(530) 893-7300
(530) 893-6853
Mailing address
1531 ESPLANADE, ATTN: FINANCE, CHICO, CA 95926-3310
(530) 332-7479
(530) 893-6853
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
230000027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05T039
MEDICARE ID TYPE UNSPECIFIED
CA
05
—
ZZR00039F
—
CA
Enumeration date
10/23/2006
Last updated
05/28/2014
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