Courtyard Surgery Pavilion, Inc in Visalia - Ambulatory Surgical

Courtyard Surgery Pavilion, Inc - NPI 1679534614

Courtyard Surgery Pavilion, Inc is a Ambulatory Surgical in Visalia, California. Courtyard Surgery Pavilion, Inc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Courtyard Surgery Pavilion, Inc is 1679534614. The last update date is 2018-08-17.

Courtyard Surgery Pavilion, Inc's current location address is 112 N Akers St, Visalia, California. You can contact this provider via phone number 5597334399 and fax number 5597331758. The mailing address for Courtyard Surgery Pavilion, Inc is 112 N Akers St, Visalia, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Courtyard Surgery Pavilion, Inc
Address 112 N Akers St, Visalia, California
Phone Number 5597334399
Fax Number 5597331758
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Feil Harrison Stan
Credentials M.D.
Telephone Number 5597334399

NPI Number Detail

NPI Number 1679534614
Provider Enumeration Date 2006-03-29
Last Updated Date 2018-08-17

Provider Mailing Address Detail

Address 112 N Akers St
City Visalia
State California (CA)
Post Code 932915121
Phone Number 5597334399
Fax Number 5597331758

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 550000162
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
550000162 CA STATE LICENSE NUMBER
BL018923 CA BUSINESS TAX CERTIFICATE
ZZZH5408Z CA BLUE SHIELD PROVIDER ID#
2732566 CA ARTICLES OF INCORPORATION
FNP 33532 CA FICTITIOUS NAME PERMIT
05C0001753 CMS NUMBER
CLN 1607 CA PHARMACY CLINIC PERMIT
P00334549 MEDICARE RAILROAD #
SUR01753F CA --
ZZZH5408Z CA TRICARE PROVIDER#

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FAQs about Courtyard Surgery Pavilion, Inc

What is the unique identifier code issued to Courtyard Surgery Pavilion, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Courtyard Surgery Pavilion, Inc has been assigned the NPI (National Provider Identifier) 1679534614. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Courtyard Surgery Pavilion, Inc is located?

The Courtyard Surgery Pavilion, Inc is situated at the following address: 112 N Akers St, Visalia, CA, 932915121.

What is the Courtyard Surgery Pavilion, Inc's specialty and taxonomy code?

The Courtyard Surgery Pavilion, Inc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679534614 to Courtyard Surgery Pavilion, Inc?

The Courtyard Surgery Pavilion, Inc received its 1679534614 assignment from the Centers for Medicare & Medicaid Services on 2006-03-29.

When was the information regarding Courtyard Surgery Pavilion, Inc most recently updated?

The details pertaining to the Courtyard Surgery Pavilion, Inc, including its address, specialty, and other relevant information, were last refreshed on 2018-08-17.

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