Amador Surgery Center
LBN: Amador Surgery Center
Amador Surgery Center is an health care organization with primary practice located at 223 Clinton Road Suite 204, Jackson CA 95642-2680. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Amador Surgery Center can be contacted via phone (209) 223-5938, or through Dutra, David via phone (209) 223-5938.
Contact Information
Primary practice address
223 Clinton Road Suite 204
Jackson CA 95642-2680
Phone: (209) 223-5938
Fax: (209) 257-1599
Website:
Authorized official contact:
Name: Dutra, David Doctor of Podiatric Medicine (DPM)
Phone: (209) 223-5938
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | California |
Profile Details
| NPI number | 1225096498 |
|---|---|
| LBN Legal business name | Amador Surgery Center |
| DBA Doing business as | |
| Authorized official | Dutra, David Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 20th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225096498 | NPPES |
| California | Other | 5539103 | CCN |
| California | Other | 2116688 | CCN |
| California | Other | AS1640 | CCN |
| California | Other | 141370XX | CCN |
| California | MEDICAID | SUR01640F | CCN |
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