Provider Demographics
NPI:1144696337
Name:CHICO HEALTH IMAGING, LLC
Entity type:Organization
Organization Name:CHICO HEALTH IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOOLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-212-0771
Mailing Address - Street 1:702 MANGROVE AVE
Mailing Address - Street 2:#230
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3948
Mailing Address - Country:US
Mailing Address - Phone:530-212-0771
Mailing Address - Fax:
Practice Address - Street 1:1555 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-6398
Practice Address - Country:US
Practice Address - Phone:530-212-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCELLUS HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty