PREMIER SURGERY CENTER OF LOUISVILLE LP NPI 1740246792

NPI Information

PREMIER SURGERY CENTER OF LOUISVILLE LP is an ambulatory surgical clinic center in Louisville, KY. PREMIER SURGERY CENTER OF LOUISVILLE LP NPI is 1740246792. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Surgery Center Of Louisville.

The provider's business location address is:

2511 TERRA CROSSING BLVD
LOUISVILLE, KY
ZIP 40245-375
Phone: (502) 589-9488
Fax: (502) 254-3901

The provider's authorized official is Tiffany Brock .
The authorized official title is Chief Administrative Officer and has the following contact phone number (502) 589-9488.

The CLIA number assigned to this NPI record is 18D0320880 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 10/24/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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