Northeast Methodist Surgicare, Ltd in Live Oak - Ambulatory Surgical

Northeast Methodist Surgicare, Ltd - NPI 1568439792

Northeast Methodist Surgicare, Ltd is a Ambulatory Surgical in Live Oak, Texas. Northeast Methodist Surgicare, Ltd practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Northeast Methodist Surgicare, Ltd is 1568439792. The last update date is 2020-08-22.

Northeast Methodist Surgicare, Ltd's current location address is 12702 Ih 35 North, Live Oak, Texas. You can contact this provider via phone number 2105755700 and fax number 2105755701. The mailing address for Northeast Methodist Surgicare, Ltd is 12702 Ih 35 North, Live Oak, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeast Methodist Surgicare, Ltd
Address 12702 Ih 35 North, Live Oak, Texas
Phone Number 2105755700
Fax Number 2105755701
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Carr A Timothy
Telephone Number 2105750238

NPI Number Detail

NPI Number 1568439792
Provider Enumeration Date 2006-03-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 12702 Ih 35 North
City Live Oak
State Texas (TX)
Post Code 782332609
Phone Number 2105755700
Fax Number 2105755701

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 345
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HH1386 TX BLUE CROSS BLUE SHIELD
49000335555 TX PALMETTO GBA

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FAQs about Northeast Methodist Surgicare, Ltd

What is the unique 10-digit identifier code assigned to Northeast Methodist Surgicare, Ltd by the Centers for Medicare & Medicaid Services?

The Northeast Methodist Surgicare, Ltd has been issued the NPI (National Provider Identifier) 1568439792 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Northeast Methodist Surgicare, Ltd is physically located?

The Northeast Methodist Surgicare, Ltd is situated at the following address: 12702 Ih 35 North, Live Oak, TX 782332609.

What is the Northeast Methodist Surgicare, Ltd's specialty and taxonomy code?

The Northeast Methodist Surgicare, Ltd's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.

On what date did the Northeast Methodist Surgicare, Ltd receive the assignment of its 1568439792 from the Centers for Medicare & Medicaid Services?

The Northeast Methodist Surgicare, Ltd was issued its 1568439792 by the Centers for Medicare & Medicaid Services on 2006-03-07.

As of what date were the details pertaining to Northeast Methodist Surgicare, Ltd last refreshed?

The information related to the Northeast Methodist Surgicare, Ltd, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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