Good Shepherd Ambulatory Surgical Center Ltd in Longview - Ambulatory Surgical
Good Shepherd Ambulatory Surgical Center Ltd - NPI 1255317384
Good Shepherd Ambulatory Surgical Center Ltd is a Ambulatory Surgical in Longview, Texas. Good Shepherd Ambulatory Surgical Center Ltd practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Good Shepherd Ambulatory Surgical Center Ltd is 1255317384. The last update date is 2009-05-13.
Good Shepherd Ambulatory Surgical Center Ltd's current location address is 703 E Marshall Ave, Longview, Texas. You can contact this provider via phone number 9033155300 and fax number 9033155301. The mailing address for Good Shepherd Ambulatory Surgical Center Ltd is 703 E Marshall Ave, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Good Shepherd Ambulatory Surgical Center Ltd |
|---|---|
| Address | 703 E Marshall Ave, Longview, Texas |
| Phone Number | 9033155300 |
| Fax Number | 9033155301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Adair D Jerry |
| Telephone Number | 9033152000 |
NPI Number Detail
| NPI Number | 1255317384 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2009-05-13 |
Provider Mailing Address Detail
| Address | 703 E Marshall Ave |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756015500 |
| Phone Number | 9033155300 |
| Fax Number | 9033155301 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 7792 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122076 | TX | CHIPS/SUPERIOR HEALTH PLA | |
| HH1354 | TX | BCBS OF TEXAS | |
| 147239101 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Good Shepherd Ambulatory Surgical Center Ltd?
The Good Shepherd Ambulatory Surgical Center Ltd has been issued the NPI (National Provider Identifier) 1255317384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Good Shepherd Ambulatory Surgical Center Ltd?
The Good Shepherd Ambulatory Surgical Center Ltd is physically situated at 703 E Marshall Ave, in the city of Longview, state of TX, with the postal code 756015500.
What is Good Shepherd Ambulatory Surgical Center Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Good Shepherd Ambulatory Surgical Center Ltd's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255317384 to Good Shepherd Ambulatory Surgical Center Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1255317384 to Good Shepherd Ambulatory Surgical Center Ltd on 2005-12-20.
When was the information regarding Good Shepherd Ambulatory Surgical Center Ltd most recently updated?
The details pertaining to the Good Shepherd Ambulatory Surgical Center Ltd, including its address, specialty, and other relevant information, were last refreshed on 2009-05-13.