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UKIAH SURGERY CENTER LP NPI 1568428456


NPI Information

NPI: 1568428456
Provider Name: UKIAH SURGERY CENTER LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
271 OBSERVATORY AVE
UKIAH, CA
ZIP 95482
Phone: (707) 467-2120
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UKIAH SURGERY CENTER LP is an ambulatory surgical clinic center in Ukiah, CA. UKIAH SURGERY CENTER LP NPI is 1568428456. The provider is registered as an organization entity type.

The provider's business location address is:

271 OBSERVATORY AVE
UKIAH, CA
ZIP 95482-757
Phone: (707) 467-2120

The provider's authorized official is Kimberly Wood .
The authorized official title is Director and has the following contact phone number (828) 236-3027.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 8/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical0110000321CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SUR 01374 FMEDICAIDCALIFORNIA
2051374MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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