Lees Surgicenter

LBN: Hans Lee Md Inc
Lees Surgicenter is an health care organization with primary practice located at 1306 Kanawha Blvd E Suite 100, Charleston WV 25301-3001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Hans Lee Md Inc can be contacted via phone (304) 342-1113, or through Jackson, Theodore A. via phone (304) 342-1113.

Contact Information

Primary practice address
1306 Kanawha Blvd E Suite 100 Charleston WV 25301-3001
Phone: (304) 342-1113
Fax: (304) 346-2271
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Theodore A. Doctor of Medicine (MD)
Phone: (304) 342-1113

Health care specialties

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

Profile Details

NPI number 1659365013
LBN Legal business name Hans Lee Md Inc
DBA Doing business as Lees Surgicenter
Authorized official Jackson, Theodore A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 10th, 2009 - about 17 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 1659365013 NPPES
West Virginia MEDICAID 0114231001

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