St Dominic Ambulatory Surgery Center L L C in Jakcson - Ambulatory Surgical
St Dominic Ambulatory Surgery Center L L C - NPI 1255303517
St Dominic Ambulatory Surgery Center L L C is a Ambulatory Surgical in Jakcson, Mississippi. St Dominic Ambulatory Surgery Center L L C practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for St Dominic Ambulatory Surgery Center L L C is 1255303517. The last update date is 2010-06-16.
St Dominic Ambulatory Surgery Center L L C's current location address is 970 Lakeland Dr., Jakcson, Mississippi. You can contact this provider via phone number 6019848800 and fax number 6013218670. The mailing address for St Dominic Ambulatory Surgery Center L L C is 970 Lakeland Dr., Jakcson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Dominic Ambulatory Surgery Center L L C |
|---|---|
| Address | 970 Lakeland Dr., Jakcson, Mississippi |
| Phone Number | 6019848800 |
| Fax Number | 6013218670 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Yelverton Richard |
| Credentials | M.D. |
| Telephone Number | 6019848800 |
NPI Number Detail
| NPI Number | 1255303517 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2010-06-16 |
Provider Mailing Address Detail
| Address | 970 Lakeland Dr. |
|---|---|
| City | Jakcson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6019848800 |
| Fax Number | 6013218670 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 11 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770362 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to St Dominic Ambulatory Surgery Center L L C by the Centers for Medicare & Medicaid Services?
The St Dominic Ambulatory Surgery Center L L C has been assigned the NPI (National Provider Identifier) 1255303517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of St Dominic Ambulatory Surgery Center L L C?
The St Dominic Ambulatory Surgery Center L L C is physically situated at 970 Lakeland Dr., in the city of Jakcson, state of MS, with the postal code 39216.
What is the St Dominic Ambulatory Surgery Center L L C's specialty and taxonomy code?
The St Dominic Ambulatory Surgery Center L L C's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
When did the St Dominic Ambulatory Surgery Center L L C receive its 1255303517?
The St Dominic Ambulatory Surgery Center L L C was issued its 1255303517 on 2006-02-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to St Dominic Ambulatory Surgery Center L L C last refreshed?
The information related to the St Dominic Ambulatory Surgery Center L L C, including its address, specialty, and other relevant details, was last updated on 2010-06-16.