NPI: 1528024171
Provider Name: BLACKSTONE VALLEY SURGICARE ACQUISITION LP
Former Legal Business Name: BLACKSTONE VALLEY SURGICARE, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
CLIA Number: 41D0907240
Address:
1526 ATWOOD AVE
SUITE 300
JOHNSTON, RI
ZIP 02919
Phone: (401) 459-3800
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BLACKSTONE VALLEY SURGICARE ACQUISITION LP is an ambulatory surgical clinic center in Johnston, RI. BLACKSTONE VALLEY SURGICARE ACQUISITION LP NPI is 1528024171. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Blackstone Valley Surgicare, Inc..
The provider's business location address is:
1526 ATWOOD AVE
SUITE 300
JOHNSTON, RI
ZIP 02919-289
Phone: (401) 459-3800
The provider's authorized official is Richard L Sharff .
The authorized official title is Vp/secretary and has the following contact phone number (205) 545-2572.
The CLIA number assigned to this NPI record is 41D0907240 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/23/2006 and was last updated on 6/1/2009.