ROANOKE SURGERY CENTER LP NPI 1205869211

NPI Information

NPI: 1205869211
Provider Name: ROANOKE SURGERY CENTER, LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 49D0669277

Address:
1802 BRAEBURN DR
SALEM, VA
ZIP 24153
Phone: (540) 725-4533
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ROANOKE SURGERY CENTER, LP is an ambulatory surgical clinic center in Salem, VA. ROANOKE SURGERY CENTER, LP NPI is 1205869211. The provider is registered as an organization entity type.

The provider's business location address is:

1802 BRAEBURN DR
SALEM, VA
ZIP 24153-357
Phone: (540) 725-4533
Fax: (540) 725-4543

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 49D0669277 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 2/15/2018.

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	OH697	VIRGINIA	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	010276039	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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