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AMBULATORY SURGERY CENTER OF SPARTANBURG LLC NPI 1619972791


NPI Information

NPI: 1619972791
Provider Name: AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
720 N PINE ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-5800
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AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC is an ambulatory surgical clinic center in Spartanburg, SC. AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC NPI is 1619972791. The provider is registered as an organization entity type.

The provider's business location address is:

720 N PINE ST
SPARTANBURG, SC
ZIP 29303-127
Phone: (864) 560-5800
Fax: (864) 560-5899

The provider's authorized official is Mike Pankey .
The authorized official title is Administrator and has the following contact phone number (864) 560-5821.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 12/19/2007.


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 SurgicalASF-064SOUTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131910OTHERPARTNERS NATL HEALTH
2ASC-037MEDICAIDSOUTH CAROLINA

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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