BECKLEY SURGERY CENTER INC NPI 1760473425

NPI Information

NPI: 1760473425
Provider Name: BECKLEY SURGERY CENTER, INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 51D1056546

Address:
84 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801
Phone: (304) 255-2724
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BECKLEY SURGERY CENTER, INC is an ambulatory surgical clinic center in Beckley, WV. BECKLEY SURGERY CENTER, INC NPI is 1760473425. The provider is registered as an organization entity type.

The provider's business location address is:

84 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801-765
Phone: (304) 255-2724
Fax: (304) 255-3691

The provider's authorized official is Albert J Paine .
The authorized official title is President and has the following contact phone number (304) 255-2724.

The CLIA number assigned to this NPI record is 51D1056546 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/23/2015.

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	1351	WEST VIRGINIA	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	490004321	OTHER	WEST VIRGINIA	RAILROAD MEDICARE NUMBER
2	5110121	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA	MEDICARE PROVIDER NUMBER
3	5080008000	MEDICAID	WEST VIRGINIA
4	1047629	OTHER	WEST VIRGINIA	WORKERS COMP PROV #
5	000394182	OTHER	WEST VIRGINIA	BCBS PAY TO ID

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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