PAVILION SURGICAL SERVICES LLC – NPI #1790969301
Clinic/Center

PAVILION SURGICAL SERVICES LLC is an AHC clinic located in UKIAH, CA. NPPES has assigned the NPI number 1790969301 to PAVILION SURGICAL SERVICES LLC on December 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Feb 09, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAVILION SURGICAL SERVICES LLC below.

NPI Profile for
PAVILION SURGICAL SERVICES LLC

NPI Number
1790969301
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAVILION SURGICAL SERVICES LLC
Primary location
245 HOSPITAL DR.
100
UKIAH, CA 95482
Phone: (707) 462-4905 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT MCCARVILLE
ADMINISTRATOR
Phone: (417) 889-2040
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.