Colleton Ambulatory Surgery

LBN: Colleton Ambulatory Care, Llc
Colleton Ambulatory Surgery is an health care organization with primary practice located at 304 Medical Park Dr , Walterboro SC 29488-5743. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Colleton Ambulatory Care, Llc can be contacted via phone (843) 782-2700, or through Smith, Deron via phone (843) 782-2610.

Contact Information

Primary practice address
304 Medical Park Dr Walterboro SC 29488-5743
Phone: (843) 782-2700
Fax: (843) 782-2701
Website:
Map and Directions
Authorized official contact:
Name: Smith, Deron
Phone: (843) 782-2610

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X ASF-035 South Carolina

Profile Details

NPI number 1114957891
LBN Legal business name Colleton Ambulatory Care, Llc
DBA Doing business as Colleton Ambulatory Surgery
Authorized official Smith, Deron
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114957891 NPPES
South Carolina MEDICAID ASC014

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