Statesboro Ambulatory Surgery Center, Inc
LBN: Statesboro Ambulatory Surgery Center, Inc
Statesboro Ambulatory Surgery Center, Inc is an health care organization with primary practice located at 95 Bel Air Drive , Statesboro GA 30461. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Statesboro Ambulatory Surgery Center, Inc can be contacted via phone (912) 489-6519, or through Cushner, Robert W via phone (912) 489-8727.
Contact Information
Primary practice address
95 Bel Air Drive
Statesboro GA 30461
Phone: (912) 489-6519
Fax: (912) 764-7882
Website:
Authorized official contact:
Name: Cushner, Robert W Doctor of Podiatric Medicine (DPM)
Phone: (912) 489-8727
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X |
Profile Details
| NPI number | 1356619613 |
|---|---|
| LBN Legal business name | Statesboro Ambulatory Surgery Center, Inc |
| DBA Doing business as | |
| Authorized official | Cushner, Robert W Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2011 |
| Last updated | Dec 1st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356619613 | NPPES |
| Other | GRP4317 | PROVIDER TRANSACTION ACCESS NUMBER | |
| MEDICAID | 000624896A | PROVIDER TRANSACTION ACCESS NUMBER |
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