SOUTHPARK SURGERY CENTER LLC NPI 1811940141

NPI Information

NPI: 1811940141
Provider Name: SOUTHPARK SURGERY CENTER LLC

Doing Business As: SOUTHPARK SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
6035 FAIRVIEW RD
STE 300
CHARLOTTE, NC
ZIP 28210
Phone: (704) 295-3000
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SOUTHPARK SURGERY CENTER LLC is an ambulatory surgical clinic center in Charlotte, NC. SOUTHPARK SURGERY CENTER LLC NPI is 1811940141. The provider is registered as an organization entity type.
The provider Is Doing Business As Southpark Surgery Center.

The provider's business location address is:

6035 FAIRVIEW RD
STE 300
CHARLOTTE, NC
ZIP 28210-256
Phone: (704) 295-3000

The provider's authorized official is Fred M Hargett .
The authorized official title is Evp Cfo and has the following contact phone number (704) 384-5184.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/26/2010.

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	AS0032	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2380887	MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

NPI Synchronization or Removal

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