SURGICAL SPECIALISTS GROUP LLC NPI 1043367196

NPI Information

NPI: 1043367196
Provider Name: SURGICAL SPECIALISTS GROUP, LLC

Doing Business As: ALABAMA OUTPATIENT SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
1323 SUMMIT DRIVE
JASPER, AL
ZIP 35501
Phone: (205) 221-1324
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SURGICAL SPECIALISTS GROUP, LLC is an ambulatory surgical clinic center in Jasper, AL. SURGICAL SPECIALISTS GROUP, LLC NPI is 1043367196. The provider is registered as an organization entity type.
The provider Is Doing Business As Alabama Outpatient Surgery Center.

The provider's business location address is:

1323 SUMMIT DRIVE
JASPER, AL
ZIP 35501-114
Phone: (205) 221-1324
Fax: (205) 221-1325

The provider's authorized official is Gary Ellis .
The authorized official title is Administrator and has the following contact phone number (205) 221-1324.

The CLIA number assigned to this NPI record is 01D1066029 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/18/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		ALABAMA	Yes

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: 5/5/2024

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