Countryside Ambulatory Surg Center in Leesburg - Ambulatory Surgical
Countryside Ambulatory Surg Center - NPI 1073534012
Countryside Ambulatory Surg Center is a Ambulatory Surgical in Leesburg, Virginia. Countryside Ambulatory Surg Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Countryside Ambulatory Surg Center is 1073534012. The last update date is 2020-08-22.
Countryside Ambulatory Surg Center's current location address is 44045 Riverside Pkwy, Leesburg, Virginia. You can contact this provider via phone number 7038586000. The mailing address for Countryside Ambulatory Surg Center is 44045 Riverside Pkwy, Leesburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Ambulatory Surg Center |
|---|---|
| Address | 44045 Riverside Pkwy, Leesburg, Virginia |
| Phone Number | 7038586000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Grish John |
| Telephone Number | 7038586604 |
NPI Number Detail
| NPI Number | 1073534012 |
|---|---|
| Provider Enumeration Date | 2006-07-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 44045 Riverside Pkwy |
|---|---|
| City | Leesburg |
| State | Virginia (VA) |
| Post Code | 201765101 |
| Phone Number | 7038586000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | OH 652 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Countryside Ambulatory Surg Center by the Centers for Medicare & Medicaid Services?
The Countryside Ambulatory Surg Center has been issued the NPI (National Provider Identifier) 1073534012 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Countryside Ambulatory Surg Center?
The Countryside Ambulatory Surg Center is physically situated at 44045 Riverside Pkwy, in the city of Leesburg, state of VA, with the postal code 201765101.
What is the area of specialization for Countryside Ambulatory Surg Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Countryside Ambulatory Surg Center is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date was the 1073534012 assigned to Countryside Ambulatory Surg Center?
The Countryside Ambulatory Surg Center was issued its 1073534012 on 2006-07-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Countryside Ambulatory Surg Center most recently updated or refreshed?
The details pertaining to the Countryside Ambulatory Surg Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD