MEDICARE: ENLOE MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207V00000X	Obstetrics & Gynecology Physician
2	207N00000X	Dermatology Physician
3	208600000X	Surgery Physician
4	208800000X	Urology Physician
5	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
6	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1255812780
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	:	530-332-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2390 E 20TH ST
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-9524
Country	:	US
Telephone Number	:	530-332-4700
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PFS/HIM
Name	:	CHRISTINE VENARD
Credential	:
Telephone Number	:	530-332-6331

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	06/11/2026

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Directions to “ENLOE MEDICAL CENTER ” Practice Location

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