THE SURGERY CENTER AT SELF MEMORIAL HOSPITAL, LLC
Surgery Yellow Pages
Greenwood, South Carolina
Provider NPI: 1427044452
Organization Information:Organization Name: THE SURGERY CENTER AT SELF MEMORIAL HOSPITAL, LLC
Practice Location:
101 ACADEMY AVE GREENWOOD, SC 29646 US
Tel: 864-725-7500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
101 ACADEMY AVE GREENWOOD, SC 29646 US
Tel: 864-725-7500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | SC | ASF055 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ASC032 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin