Healthcare Provider Details

I. General information

NPI: 1689699597
Provider Name (Legal Business Name): NAPA SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3444 VALLE VERDE DR
NAPA CA
94558-2415
US

IV. Provider business mailing address

3444 VALLE VERDE DR
NAPA CA
94558-2415
US

V. Phone/Fax

Practice location:
  • Phone: 707-252-9666
  • Fax: 707-258-2780
Mailing address:
  • Phone: 707-252-9666
  • Fax: 707-258-2780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: PAULA HILL
Title or Position: BILLING COLLECTION MANAGER
Credential:
Phone: 707-252-9666