SCB SURGERY CENTER LLC NPI 1932977360

NPI Information

  • NPI: 1932977360
  • Provider Name: SCB SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 19D2296933
  • Address: 2480 HWY 33
    RUSTON, LA
    ZIP 71270
  • Phone: (318) 224-2404

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NPI Details

SCB SURGERY CENTER LLC is an ambulatory surgical clinic center in Ruston, LA. SCB SURGERY CENTER LLC NPI is 1932977360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2480 HWY 33
RUSTON, LA
ZIP 71270-468
Phone: (318) 224-2404
Fax: (318) 224-4402

The provider's authorized official is John Calhoun Moak .
The authorized official title is Clinical Director and has the following contact phone number (318) 278-1955.

The CLIA number assigned to this NPI record is 19D2296933 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2023 and was last updated on 2/17/2025.

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
1207X00000XOrthopaedic SurgeryNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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