Provider Demographics
NPI:1588729602
Name:OBGYN ASSOCIATES OF CHICO MIDWIFERY SERVICES INC.
Entity type:Organization
Organization Name:OBGYN ASSOCIATES OF CHICO MIDWIFERY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CATTERALL
Authorized Official - Suffix:
Authorized Official - Credentials:CNM,RN
Authorized Official - Phone:530-345-4471
Mailing Address - Street 1:1625 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3312
Mailing Address - Country:US
Mailing Address - Phone:530-345-4471
Mailing Address - Fax:530-345-4496
Practice Address - Street 1:1625 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3312
Practice Address - Country:US
Practice Address - Phone:530-345-4471
Practice Address - Fax:530-345-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0307966163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANMW004080Medicaid
CANMW004080Medicaid
ARP90348Medicare UPIN