Healthcare Provider Details

I. General information

NPI: 1255700373
Provider Name (Legal Business Name): NPH MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2639 FOREST AVE SUITE 110
CHICO CA
95928-4393
US

IV. Provider business mailing address

2639 FOREST AVE SUITE 110
CHICO CA
95928-4393
US

V. Phone/Fax

Practice location:
  • Phone: 530-899-2255
  • Fax: 530-899-2260
Mailing address:
  • Phone: 530-899-2255
  • Fax: 530-899-2260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SIS GILMORE
Title or Position: PRESIDENT
Credential:
Phone: 530-899-2255