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PAVILION SURGICAL SERVICES LLC
NPI 1790969301
Clinic/Center - Ambulatory Surgical in Ukiah, CA

Active since December 19, 2007
245 HOSPITAL DR., 100, UKIAH, CA 95482(707) 462-4905 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About PAVILION SURGICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Pavilion Surgical Services Llc, a provider established in Ukiah, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1790969301 assigned on December 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Robert E Mccarville (Administrator)

NPI
1790969301 Verify this NPI
Provider Name
PAVILION SURGICAL SERVICES LLC
Entity Type
Organization
Location Address
245 HOSPITAL DR. 100 UKIAH, CA 95482
Location Phone
(707) 462-4905
Mailing Address
245 HOSPITAL DR. 100 UKIAH, CA 95482
Mailing Phone
(707) 462-4905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2007
Last Update Date
02-09-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT E MCCARVILLE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(417) 889-2040

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Frequently Asked Questions

What is PAVILION SURGICAL SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1790969301, enumerated as an "organization" on December 19, 2007.

Where is the provider located?

The provider is located at 245 HOSPITAL DR. 100 UKIAH, CA 95482 and the phone number is (707) 462-4905.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.