CUMBERLAND VALLEY SURGICAL CENTER LLC NPI 1215931134

NPI Information

NPI: 1215931134
Provider Name: CUMBERLAND VALLEY SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 18D0972582

Address:
275 HIGHWAY 770
CORBIN, KY
ZIP 40701
Phone: (606) 526-7874
Get Directions

CUMBERLAND VALLEY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Corbin, KY. CUMBERLAND VALLEY SURGICAL CENTER, LLC NPI is 1215931134. The provider is registered as an organization entity type.

The provider's business location address is:

275 HIGHWAY 770
CORBIN, KY
ZIP 40701-732
Phone: (606) 526-7874
Fax: (606) 526-7836

The provider's authorized official is Kim Turner .
The authorized official title is Business Director and has the following contact phone number (606) 526-7874.

The CLIA number assigned to this NPI record is 18D0972582 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 8/22/2020.

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	300073	KENTUCKY	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	36000034	MEDICAID	KENTUCKY

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

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