Upstate Surgery Center, Llc

LBN: Upstate Surgery Center, Llc
Upstate Surgery Center, Llc is an health care organization with primary practice located at 10 Enterprise Blvd Suite 104, Greenville SC 29615-6301. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Upstate Surgery Center, Llc can be contacted via phone (864) 458-7141, or through Mcculloch, Raymond via phone (864) 282-4910.

Contact Information

Primary practice address
10 Enterprise Blvd Suite 104 Greenville SC 29615-6301
Phone: (864) 458-7141
Fax: (864) 676-9116
Website:
Map and Directions
Authorized official contact:
Name: Mcculloch, Raymond
Phone: (864) 282-4910

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X ASF-050 South Carolina

Profile Details

NPI number 1619998523
LBN Legal business name Upstate Surgery Center, Llc
DBA Doing business as
Authorized official Mcculloch, Raymond
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Jun 3rd, 2008 - 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 1619998523 NPPES
South Carolina MEDICAID ASC028

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