COLISEUM SAME DAY SURGERY CENTER LP NPI 1609872597

NPI Information

NPI: 1609872597
Provider Name: COLISEUM SAME DAY SURGERY CENTER LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
340 HOSPITAL DR
BLDG E
MACON, GA
ZIP 31217
Phone: (478) 742-1403
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COLISEUM SAME DAY SURGERY CENTER LP is an ambulatory surgical clinic center in Macon, GA. COLISEUM SAME DAY SURGERY CENTER LP NPI is 1609872597. The provider is registered as an organization entity type.

The provider's business location address is:

340 HOSPITAL DR
BLDG E
MACON, GA
ZIP 31217-838
Phone: (478) 742-1403
Fax: (478) 742-7018

The provider's authorized official is Kay Buxton .
The authorized official title is Administrator and has the following contact phone number (478) 742-1403.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 8/24/2021.

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	011-188	GA	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	00354263A	MEDICAID	GEORGIA
2	490004496	OTHER		RAILROAD MCARE PROVIDER

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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