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ROANOKE AMBULATORY SURGERY CENTER LLC NPI 1013914985


NPI Information

NPI: 1013914985
Provider Name: ROANOKE AMBULATORY SURGERY CENTER, LLC

Doing Business As: ROANOKE AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 49D1015712

Address:
1102 S JEFFERSON ST
ROANOKE, VA
ZIP 24016
Phone: (540) 342-5800
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ROANOKE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Roanoke, VA. ROANOKE AMBULATORY SURGERY CENTER, LLC NPI is 1013914985. The provider is registered as an organization entity type.
The provider Is Doing Business As Roanoke Ambulatory Surgery Center.

The provider's business location address is:

1102 S JEFFERSON ST
ROANOKE, VA
ZIP 24016-704
Phone: (540) 342-5800

The provider's authorized official is Melissa S Alley .
The authorized official title is Business Office Manager and has the following contact phone number (540) 342-0707.

The CLIA number assigned to this NPI record is 49D1015712 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2005 and was last updated on 11/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalOH636VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010053919MEDICAIDVIRGINIA
2125459800OTHERVIRGINIADEPARTMENT OF LABOR ID NU
3ASC197MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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