Hanover Outpatient Surgery Center

LBN: Hanover Outpatient Surgery Center, L.P.
Hanover Outpatient Surgery Center is an health care organization with primary practice located at 7016 Lee Park Rd , Mechanicsville VA 23111-3682. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Hanover Outpatient Surgery Center, L.P. can be contacted via phone (804) 730-9000, or through Liedtke, Don via phone (615) 344-5507.

Contact Information

Primary practice address
7016 Lee Park Rd Mechanicsville VA 23111-3682
Fax: (804) 730-1460
Website:
Authorized official contact:
Name: Liedtke, Don

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X OH657 Virginia

Profile Details

NPI number 1083677595
LBN Legal business name Hanover Outpatient Surgery Center, L.P.
DBA Doing business as Hanover Outpatient Surgery Center
Authorized official Liedtke, Don
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated May 24th, 2012 - about 12 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 1083677595 NPPES
Virginia MEDICAID 010188334

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