New Cedar Lake Surgery Center, Llc in Biloxi - Ambulatory Surgical
New Cedar Lake Surgery Center, Llc - NPI 1295820249
New Cedar Lake Surgery Center, Llc is a Ambulatory Surgical in Biloxi, Mississippi. New Cedar Lake Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for New Cedar Lake Surgery Center, Llc is 1295820249. The last update date is 2017-02-20.
New Cedar Lake Surgery Center, Llc's current location address is 1720 Medical Park Dr # B, Biloxi, Mississippi. You can contact this provider via phone number 2287022000 and fax number 2283142589. The mailing address for New Cedar Lake Surgery Center, Llc is 1720 Medical Park Dr # B, Biloxi, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Cedar Lake Surgery Center, Llc |
|---|---|
| Address | 1720 Medical Park Dr # B, Biloxi, Mississippi |
| Phone Number | 2287022000 |
| Fax Number | 2283142589 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Wilson J Charles |
| Credentials | M.D. |
| Telephone Number | 2287022000 |
NPI Number Detail
| NPI Number | 1295820249 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2017-02-20 |
Provider Mailing Address Detail
| Address | 1720 Medical Park Dr # B |
|---|---|
| City | Biloxi |
| State | Mississippi (MS) |
| Post Code | 395322131 |
| Phone Number | 2287022000 |
| Fax Number | 2283142589 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 4 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770025 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to New Cedar Lake Surgery Center, Llc by the Centers for Medicare & Medicaid Services?
The New Cedar Lake Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1295820249, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where New Cedar Lake Surgery Center, Llc is located?
The New Cedar Lake Surgery Center, Llc is situated at the following address: 1720 Medical Park Dr # B, Biloxi, MS, 395322131.
What is the New Cedar Lake Surgery Center, Llc's specialty and taxonomy code?
The New Cedar Lake Surgery Center, Llc'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 1295820249 to New Cedar Lake Surgery Center, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1295820249 to New Cedar Lake Surgery Center, Llc on 2006-10-04.
When was the New Cedar Lake Surgery Center, Llc's information last updated?
The New Cedar Lake Surgery Center, Llc's information was last updated on 2017-02-20.
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