East West Surgery Center Lp in Austell - Ambulatory Surgical
East West Surgery Center Lp - NPI 1366444929
East West Surgery Center Lp is a Ambulatory Surgical in Austell, Georgia. East West Surgery Center Lp practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for East West Surgery Center Lp is 1366444929. The last update date is 2018-11-15.
East West Surgery Center Lp's current location address is 2041 Mesa Valley Way, Austell, Georgia. You can contact this provider via phone number 6783098100 and fax number 6783098101. The mailing address for East West Surgery Center Lp is 2041 Mesa Valley Way, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East West Surgery Center Lp |
|---|---|
| Address | 2041 Mesa Valley Way, Austell, Georgia |
| Phone Number | 6783098100 |
| Fax Number | 6783098101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER / |
|---|---|
| Authorized Official Name | Moran D Jenetha |
| Telephone Number | 9727633893 |
NPI Number Detail
| NPI Number | 1366444929 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2018-11-15 |
Provider Mailing Address Detail
| Address | 2041 Mesa Valley Way |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301066828 |
| Phone Number | 6783098100 |
| Fax Number | 6783098101 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 33202 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 327221 | GA | MEDICAID WELLCARE | |
| 68-00053 | GA | UNITED HEALTHCARE | |
| 7467086 | GA | AETNA PPO | |
| 490005006 | GA | RR MEDICARE | |
| 00897047A | GA | -- | |
| 2377093 | GA | AETNA H/POS | |
| 51795413002 | GA | BLUE CROSS | |
| 166-510-500 | GA | DEPT OF LABOR |
Post Comment/ Review Below
What is the unique identifier code issued to East West Surgery Center Lp by the Centers for Medicare & Medicaid Services?
The East West Surgery Center Lp has been assigned the NPI (National Provider Identifier) 1366444929. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where East West Surgery Center Lp's facilities are geographically located?
The facilities of East West Surgery Center Lp are physically situated at the following location: 2041 Mesa Valley Way, Austell, GA, 301066828.
What is the East West Surgery Center Lp's specialty and taxonomy code?
The East West Surgery Center Lp's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366444929 to East West Surgery Center Lp?
The Centers for Medicare & Medicaid Services originally issued the 1366444929 to East West Surgery Center Lp on 2005-08-12.
When was the information related to East West Surgery Center Lp most recently updated or refreshed?
The details pertaining to the East West Surgery Center Lp, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-11-15.