Northwoods Surgery Center Llc in Cumming - Ambulatory Surgical

Northwoods Surgery Center Llc - NPI 1639148380

Northwoods Surgery Center Llc is a Ambulatory Surgical in Cumming, Georgia. Northwoods Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Northwoods Surgery Center Llc is 1639148380. The last update date is 2016-06-16.

Northwoods Surgery Center Llc's current location address is 1230 Bald Ridge Marina Rd, Cumming, Georgia. You can contact this provider via phone number 7708887105 and fax number 7708887107. The mailing address for Northwoods Surgery Center Llc is 1230 Bald Ridge Marina Rd, Cumming, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwoods Surgery Center Llc
Address 1230 Bald Ridge Marina Rd, Cumming, Georgia
Phone Number 7708887105
Fax Number 7708887107
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SVP OF OUT
Authorized Official Name Burtnett Kyle Michael
Telephone Number 4698932153

NPI Number Detail

NPI Number 1639148380
Provider Enumeration Date 2006-03-15
Last Updated Date 2016-06-16

Provider Mailing Address Detail

Address 1230 Bald Ridge Marina Rd
City Cumming
State Georgia (GA)
Post Code 30041
Phone Number 7708887105
Fax Number 7708887107

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 58326
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000923447A GA --
100852 GA BLUE CROSS BLUE SHIELD

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FAQs about Northwoods Surgery Center Llc

What is the unique 10-digit identification code assigned to Northwoods Surgery Center Llc by the Centers for Medicare & Medicaid Services?

The Northwoods Surgery Center Llc has been issued the NPI (National Provider Identifier) 1639148380, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Northwoods Surgery Center Llc located?

The Northwoods Surgery Center Llc is located at 1230 Bald Ridge Marina Rd, Cumming, GA 30041.

What is the area of specialization for Northwoods Surgery Center Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Northwoods Surgery Center Llc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.

On what date did the Northwoods Surgery Center Llc receive its 1639148380 assignment from the Centers for Medicare & Medicaid Services?

The Northwoods Surgery Center Llc was assigned its 1639148380 by the Centers for Medicare & Medicaid Services on 2006-03-15.

When was the information regarding Northwoods Surgery Center Llc most recently updated?

The details pertaining to the Northwoods Surgery Center Llc, including its address, specialty, and other relevant information, were last refreshed on 2016-06-16.

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