Surgery Center South
LBN: Southern Alabama Surgery Center Llc
Surgery Center South is an health care organization with primary practice located at 2800 Ross Clark Cir Suite 3, Dothan AL 36301-2040. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Ambulatory Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Southern Alabama Surgery Center Llc can be contacted via phone (334) 793-3411, or through Byrd, Sharron Alane via phone (334) 793-3411.
Contact Information
Primary practice address
2800 Ross Clark Cir Suite 3
Dothan AL 36301-2040
Phone: (334) 793-3411
Fax: (334) 712-0227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 12124 | Alabama |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1346349164 |
|---|---|
| LBN Legal business name | Southern Alabama Surgery Center Llc |
| DBA Doing business as | Surgery Center South |
| Authorized official | Byrd, Sharron Alane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 23rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346349164 | NPPES |
| Georgia | MEDICAID | 03119876A | |
| Georgia | MEDICAID | 128616 | |
| Georgia | MEDICAID | 000902316A | |
| Georgia | Other | 010306 | |
| Georgia | MEDICAID | 062936700 | |
| Georgia | MEDICAID | ASC0060C |
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