The Surgery Center At Cedar Lake

LBN: New Cedar Lake Surgery Center, Llc
The Surgery Center At Cedar Lake is an health care organization with primary practice located at 1720 Medical Park Dr # B , Biloxi MS 39532-2131. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. New Cedar Lake Surgery Center, Llc can be contacted via phone (228) 702-2000, or through Wilson, Charles J via phone (228) 702-2000.

Contact Information

Primary practice address
1720 Medical Park Dr # B Biloxi MS 39532-2131
Phone: (228) 702-2000
Fax: (228) 702-2019
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Charles J Doctor of Medicine (MD)
Phone: (228) 702-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 004 Mississippi

Profile Details

NPI number 1295820249
LBN Legal business name New Cedar Lake Surgery Center, Llc
DBA Doing business as The Surgery Center At Cedar Lake
Authorized official Wilson, Charles J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 20th, 2017 - 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 1295820249 NPPES
Mississippi MEDICAID 00770025

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