Enloe Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

ENLOE MEDICAL CENTER

Practice address

560 Cohasset Rd
Chico, CA 95926-2212

Phone

(530) 332-6337

Fax

(530) 893-6936

NPI assigned

Oct 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Sarrico

Title

Cfo

Phone

(530) 332-6337

Specialties & licenses 1

Addresses

Other names 1

• ENLOE BEHAVIORAL HEALTH Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Enloe Medical Center

  dba Enloe Behavioral Health

  • Psychologist
  • Chico, CA
  • NPI 1861814089

  O20141001001132

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed I Abouesh, MD

  • Specialist
  • Chico, CA
  • NPI 1487661120
  NPD
• Kati Boomgarden, FNP

  • Family Nurse Practitioner
  • Red Bluff, CA
  • NPI 1326577552
  NPD
• Nicole A Hicks, PA

  • Physician Assistant
  • Chico, CA
  • NPI 1427067495
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073696100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-6337",
            "fax_number": "530-893-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262212",
            "telephone_number": "530-332-6337",
            "fax_number": "530-893-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARRICO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-332-6337"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENLOE BEHAVIORAL HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Enloe Health and Wellness (Enloe Health and Wellness Transitional Care)
• Enloe Health and Wellness (Enloe Primary Care)
• Enloe Health and Wellness (Enloe Northstate Cardiology)
• Enloe Health and Wellness (Enloe Health & Wellness Nephrology)
• Enloe Medical Center (Enloe Women's Services)
• Enloe Medical Center (Enloe Wound/Ostomy & Hyperbaric Center)
• Enloe Medical Center (Enloe Hospice)
• Enloe Medical Center (Enloe Female Pelvic Medicine and Reconstructive Surgery)
• Enloe Medical Center (Enloe ENT - Head & Neck Specialists)
• Enloe Medical Center

• Psychiatric Hospital Unit in Chico, CA
• Providers in Chico, CA by specialty
• Psychiatric Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.