MONTICELLO COMMUNITY SURGERY CENTER LLC NPI 1629045133

NPI Information

MONTICELLO COMMUNITY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Charlottesville, VA. MONTICELLO COMMUNITY SURGERY CENTER, LLC NPI is 1629045133. The provider is registered as an organization entity type.
The provider Is Doing Business As Uva Health Surgical Care Riverside.

The provider's business location address is:

2331 SEMINOLE LANE
SUITE 201
CHARLOTTESVILLE, VA
ZIP 22901-319
Phone: (434) 293-4995
Fax: (434) 971-3434

The provider's authorized official is Jessie Wagner .
The authorized official title is Administrator and has the following contact phone number (434) 971-3406.

The CLIA number assigned to this NPI record is 49D1012621 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 6/2/2023.

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:

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