| Organization Name: | CHICO IMMEDIATE CARE MEDICAL CENTER, INC |
| NPI Number: | 1700223211 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACY STLOUIS (OFFICE MANAGER) |
| Mailing Address: | 1361 Cortina Dr Suite A Orland |
| State: | CA US |
| Postal Code: | 959632402 |
| Phone Number: | 5308653400 |
| Fax Number: | 5308653386 |
| NPI Enumeration Date: | 05/24/2013 |
| NPI Last Update Date: | 07/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |