institution
Courtyard Surgery Pavilion, Inc
Ambulatory Surgical Clinic/Center in Visalia, California
NPI 1679534614

Courtyard Surgery Pavilion, Inc is an Ambulatory Surgical Clinic/Center based in Visalia, CA and is specialized in Ambulatory Surgical. Courtyard Surgery Pavilion, Inc practices in Visalia, CA. The NPI Number for Courtyard Surgery Pavilion, Inc is 1679534614 and holds a License No. 550000162 (California).

The current practice location address for Courtyard Surgery Pavilion, Inc is 112 N Akers St, Visalia, CA and can be reached out via phone at 559-733-4399 and via fax at 559-733-1758. You can also correspond with Courtyard Surgery Pavilion, Inc through the mailing address at 112 N AKERS ST, VISALIA, CA - 93291-5121 (mailing address contact number: 559-733-4399).

Location: 112 N Akers St, Visalia, CA, 93291-5121
institution
Provider Profile Details
NPI Number
1679534614
Provider Name
Courtyard Surgery Pavilion, Inc
Credential
Provider Entity Type
Organization
Address
112 N Akers St, Visalia, CA, 93291-5121
Phone Number
559-733-4399
Fax Number
559-733-1758
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550000162 01 CA STATE LICENSE NUMBER
BL018923 01 CA BUSINESS TAX CERTIFICATE
ZZZH5408Z 01 CA BLUE SHIELD PROVIDER ID#
2732566 01 CA ARTICLES OF INCORPORATION
FNP 33532 01 CA FICTITIOUS NAME PERMIT
05C0001753 01 CMS NUMBER
CLN 1607 01 CA PHARMACY CLINIC PERMIT
P00334549 01 MEDICARE RAILROAD #
SUR01753F 05 CA
ZZZH5408Z 01 CA TRICARE PROVIDER#
1942205240 01 STAN H. FEIL, M.D. (NPI)
institution
Provider Business Practice Location Address Details
Address
112 N Akers St
City
State
Zip
93291-5121
Phone Number
559-733-4399
Fax Number
559-733-1758
person
Provider Business Mailing Address Details
Address
112 N Akers St
City
State
Zip
93291-5121
Phone Number
559-733-4399
Fax Number
559-733-1758
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
550000162 (California)
Definition
Definition to come...
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