ARDMORE REGIONAL SURGERY CENTER LLC NPI 1376709907

NPI Information

NPI: 1376709907
Provider Name: ARDMORE REGIONAL SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 37D0995263

Address:
2002 12TH AVE NW
SUITE C
ARDMORE, OK
ZIP 73401
Phone: (580) 224-0007
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ARDMORE REGIONAL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Ardmore, OK. ARDMORE REGIONAL SURGERY CENTER, LLC NPI is 1376709907. The provider is registered as an organization entity type.

The provider's business location address is:

2002 12TH AVE NW
SUITE C
ARDMORE, OK
ZIP 73401-227
Phone: (580) 224-0007
Fax: (580) 223-7140

The provider's authorized official is Sally A Godfrey .
The authorized official title is Administrator and has the following contact phone number (580) 224-0007.

The CLIA number assigned to this NPI record is 37D0995263 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 8/4/2008.

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	0064	OKLAHOMA	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: 4/28/2024

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