MEDICARE: ENLOE MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit

General Provider Information

NPI Number	:	1073696100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENLOE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1531 ESPLANADE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-3310
Country	:	US
Telephone Number	:	530-332-6337
Fax Number	:	530-893-6936

Provider Business Practice Location Address
First Line	:	560 COHASSET RD
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-2212
Country	:	US
Telephone Number	:	530-332-6337
Fax Number	:	530-893-6936

Authorized Official
Title or Position	:	CFO
Name	:	CHRISTINE SARRICO
Credential	:
Telephone Number	:	530-332-6337

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	08/22/2020

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