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ATRIUM HEALTH HUNTERSVILLE ASC LLC NPI 1952977563


NPI Information

NPI: 1952977563
Provider Name: ATRIUM HEALTH HUNTERSVILLE ASC, LLC

Doing Business As: HUNTERSVILLE SURGERY CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 34D2283568

Address:
16455 STATESVILLE RD STE 100
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 801-1701
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ATRIUM HEALTH HUNTERSVILLE ASC, LLC is an ambulatory surgical clinic center in Huntersville, NC. ATRIUM HEALTH HUNTERSVILLE ASC, LLC NPI is 1952977563. The provider is registered as an organization entity type.
The provider Is Doing Business As Huntersville Surgery Center.

The provider's business location address is:

16455 STATESVILLE RD STE 100
HUNTERSVILLE, NC
ZIP 28078-137
Phone: (704) 801-1701
Fax: (704) 987-8403

The provider's authorized official is Jean Louise Wildasin .
The authorized official title is Administrator and has the following contact phone number (704) 801-1701.

The CLIA number assigned to this NPI record is 34D2283568 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2021 and was last updated on 1/19/2024.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1999999999999999999OTHER9999999999999999

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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