HEMLOCK AMBULATORY SURGERY CENTER NPI 1427307578

NPI Information

NPI: 1427307578
Provider Name: HEMLOCK AMBULATORY SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2050081

Address:
101 PRESTON CT STE 104
MACON, GA
ZIP 31210
Phone: (478) 745-2385
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HEMLOCK AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Macon, GA. HEMLOCK AMBULATORY SURGERY CENTER NPI is 1427307578. The provider is registered as an organization entity type.

The provider's business location address is:

101 PRESTON CT STE 104
MACON, GA
ZIP 31210-771
Phone: (478) 745-2385
Fax: (478) 745-1225

The provider's authorized official is Stephen N Tafor .
The authorized official title is Ceo and has the following contact phone number (478) 745-2385.

The CLIA number assigned to this NPI record is 11D2050081 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 7/22/2013.

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	011-473	GEORGIA	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	003132720A	MEDICAID	GEORGIA
2	202G499688	MEDICARE PIN	GEORGIA

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

NPI Synchronization or Removal

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