Iredell Head, Neck And Ear Ambulatory Surgery Center, Inc.

LBN: Iredell Head, Neck And Ear Ambulatory Surgery Center, Inc.
Iredell Head, Neck And Ear Ambulatory Surgery Center, Inc. is an health care organization with primary practice located at 707 Bryant St Lower Level, Statesville NC 28677-4142. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Iredell Head, Neck And Ear Ambulatory Surgery Center, Inc. can be contacted via phone (704) 873-5224, or through Prendergast, Mark L. via phone (704) 873-5224.

Contact Information

Primary practice address
707 Bryant St Lower Level Statesville NC 28677-4142
Phone: (704) 873-5224
Fax: (704) 924-8378
Website:
Map and Directions
Authorized official contact:
Name: Prendergast, Mark L. Doctor of Medicine (MD)
Phone: (704) 873-5224

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X AS0042 North Carolina

Profile Details

NPI number 1710956529
LBN Legal business name Iredell Head, Neck And Ear Ambulatory Surgery Center, Inc.
DBA Doing business as
Authorized official Prendergast, Mark L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 18th, 2010 - about 15 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 1710956529 NPPES
North Carolina MEDICAID 3409865

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