Provider Demographics
NPI:1336333954
Name:TWIN CITIES SURGICAL HOSPITAL LLC
Entity Type:Organization
Organization Name:TWIN CITIES SURGICAL HOSPITAL LLC
Other - Org Name:SUTTER SURGICAL HOSPITAL - NORTH VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-749-5714
Mailing Address - Street 1:455 PLUMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5074
Mailing Address - Country:US
Mailing Address - Phone:530-749-5700
Mailing Address - Fax:530-749-5720
Practice Address - Street 1:455 PLUMAS BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5074
Practice Address - Country:US
Practice Address - Phone:530-749-5700
Practice Address - Fax:530-749-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA050766Medicare Oscar/Certification