HANOVER OUTPATIENT SURGERY CENTER L.P. NPI 1083677595

NPI Information

NPI: 1083677595
Provider Name: HANOVER OUTPATIENT SURGERY CENTER, L.P.

Doing Business As: HANOVER OUTPATIENT SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7016 LEE PARK RD
MECHANICSVILLE, VA
ZIP 23111
Phone: (804) 730-9000
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HANOVER OUTPATIENT SURGERY CENTER, L.P. is an ambulatory surgical clinic center in Mechanicsville, VA. HANOVER OUTPATIENT SURGERY CENTER, L.P. NPI is 1083677595. The provider is registered as an organization entity type.
The provider Is Doing Business As Hanover Outpatient Surgery Center.

The provider's business location address is:

7016 LEE PARK RD
MECHANICSVILLE, VA
ZIP 23111-682
Phone: (804) 730-9000
Fax: (804) 730-1460

The provider's authorized official is Don Liedtke .
The authorized official title is Vice President and has the following contact phone number (615) 344-5507.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 5/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OH657	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010188334	MEDICAID	VIRGINIA
2	192949751	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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