Southeastern Surgical Associates Pc

LBN: Southeastern Vascular, P.C.
Southeastern Surgical Associates Pc is an health care organization with primary practice located at 100 Camp St , Hyannis MA 02601-3007. 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 / Vascular Surgery is the primary health care specialty. Southeastern Vascular, P.C. can be contacted via phone (508) 775-1984, or through Ellinwood, Lynn via phone (508) 775-1984.

Contact Information

Primary practice address
100 Camp St Hyannis MA 02601-3007
Phone: (508) 775-1984
Fax: (508) 790-1897
Website:
Map and Directions
Authorized official contact:
Name: Ellinwood, Lynn
Phone: (508) 775-1984

Health care specialties

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

Profile Details

NPI number 1205866274
LBN Legal business name Southeastern Vascular, P.C.
DBA Doing business as Southeastern Surgical Associates Pc
Authorized official Ellinwood, Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 30th, 2021 - about 5 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 1205866274 NPPES
Massachusetts MEDICAID 9776605
Massachusetts Other SOM16224

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