SURGERY CENTER OF COLUMBIA COUNTY LLC NPI 1598775231

NPI Information

NPI: 1598775231
Provider Name: SURGERY CENTER OF COLUMBIA COUNTY, LLC

Doing Business As: SURGERY CENTER OF COLUMBIA COUNTY

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

Specialization: Ambulatory Surgical

Address:
4300 UNIVERSITY PKWY
EVANS, GA
ZIP 30809
Phone: (706) 854-3000
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SURGERY CENTER OF COLUMBIA COUNTY, LLC is an ambulatory surgical clinic center in Evans, GA. SURGERY CENTER OF COLUMBIA COUNTY, LLC NPI is 1598775231. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center Of Columbia County.

The provider's business location address is:

4300 UNIVERSITY PKWY
EVANS, GA
ZIP 30809-063
Phone: (706) 854-3000
Fax: (706) 854-3189

The provider's authorized official is Ann Turner .
The authorized official title is Administrator and has the following contact phone number (706) 854-3020.

The CLIA number assigned to this NPI record is 11D1056282 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 6/8/2011.

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			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	11C0001289	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: 5/5/2024

NPI Synchronization or Removal

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