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ROANOKE AMBULATORY SURGERY CENTER, LLC

Surgery Yellow Pages

Roanoke, Virginia

Provider NPI: 1013914985

Organization Information:
Organization Name:  ROANOKE AMBULATORY SURGERY CENTER, LLC


Practice Location:
1102 S JEFFERSON ST  ROANOKE, VA 24016 US
Tel: 540-342-5800  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
VAOH636

Other Provider Identifiers:

IssuerNumberStateType
DEPARTMENT OF LABOR ID NU125459800VA01
010053919VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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