Surgery Clinic, Llc

LBN: Surgery Clinic, Llc
Surgery Clinic, Llc is an health care organization with primary practice located at 419 S 5Th St , Gadsden AL 35901-5101. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Surgery Clinic, Llc can be contacted via phone (256) 547-6331, or through Keener, Dianette via phone (256) 547-6331.

Contact Information

Primary practice address
419 S 5Th St Gadsden AL 35901-5101
Phone: (256) 547-6331
Fax: (256) 547-1711
Website:
Map and Directions
Authorized official contact:
Name: Keener, Dianette
Phone: (256) 547-6331

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Alabama
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X Alabama

Profile Details

NPI number 1205893732
LBN Legal business name Surgery Clinic, Llc
DBA Doing business as
Authorized official Keener, Dianette
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 17th, 2011 - about 13 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 1205893732 NPPES
Alabama MEDICAID 528202650

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