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FRESNO CA MULTI ASC LP NPI 1538403670


NPI Information

NPI: 1538403670
Provider Name: FRESNO CA MULTI ASC LP

Doing Business As: HERNDON SURGERY CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 05D1077958

Address:
1843 E FIR AVE
SUITE 104
FRESNO, CA
ZIP 93720
Phone: (559) 323-6611
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FRESNO CA MULTI ASC LP is an ambulatory surgical clinic center in Fresno, CA. FRESNO CA MULTI ASC LP NPI is 1538403670. The provider is registered as an organization entity type.
The provider Is Doing Business As Herndon Surgery Center.

The provider's business location address is:

1843 E FIR AVE
SUITE 104
FRESNO, CA
ZIP 93720-863
Phone: (559) 323-6611
Fax: (559) 323-5322

The provider's authorized official is Billie A. Payne .
The authorized official title is President Of Lp and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 05D1077958 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 9/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalCALIFORNIAYes

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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