NPIMap

Organization Active NPI

Enloe Medical Center

Doing business as Enloe Prompt Care

  • Urgent Care Clinic/Center
  • Chico, CA
National Provider Identifier
1396753281
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ENLOE MEDICAL CENTER
Doing business as
Enloe Prompt Care
Enloe Prompt Care Clinics
Practice address
888 Lakeside VLG CMNS
Chico, CA 95928-3979
Phone
(530) 332-6850
NPI assigned
Aug 4, 2006
Organization subpart
Yes
Parent organization
ENLOE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Kevin Woodward
Title
VP/Cfo
Phone
(530) 332-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

888 Lakeside VLG CMNS
Chico, CA 95928-3979

Mailing address

1531 Esplanade
Attn: Finance
Chico, CA 95926-3310
Phone (530) 332-7479

Other practice location 1

560 Cohasset Rd
Chico, CA 95926-2281
Phone (530) 332-4111

Other practice location 2

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

Other identifiers 3

IdentifierTypeStateIssuer
CK2203OtherCAMEDICARE RAILROAD
C40478OtherCAMEDICARE RAILROAD
HSP40039FMedicaidCA

Other names 2

  • Enloe Prompt Care Doing business as
  • Enloe Prompt Care Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000404 CA Part B Supplier - Clinic/Group Practice 9739092388 Receives reassigned benefits from 242 practitioners
6 other NPIs on this enrollment
Practice locations: Chico, CA

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Part of
Prompt Care

Practitioners & affiliated clinicians

Practitioners 244

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.

View all 244

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1396753281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "address_2": "ATTN: FINANCE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-7479",
            "fax_number": "530-893-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 LAKESIDE VLG CMNS",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959283979",
            "telephone_number": "530-332-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Cohasset Rd",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959262281",
            "country_code": "US",
            "telephone_number": "530-332-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263310",
            "country_code": "US",
            "telephone_number": "530-332-7300",
            "fax_number": "530-893-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENLOE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENLOE MEDICAL CENTER",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "530-332-6733"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK2203",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C40478",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40039F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enloe Prompt Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enloe Prompt Care Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.