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Organization
PRESBYTERIAN SAMEDAY SURGERY CENTER AT HUNTERSVILLE LLC
Active
Organization
PRESBYTERIAN SAMEDAY SURGERY CENTER AT HUNTERSVILLE LLC
Active
Other names
Novant Health Huntersville Outpatient Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M HARGETT (CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
10030 GILEAD ROAD, HUNTERSVILLE, NC 28078
(704) 316-4010
(704) 316-6706
Mailing address
2085 FRONTIS PLAZA BOULEVARD, WINSTON-SALEM, NC 27103
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2379000
MEDICARE PTAN
NC
01
—
2839020
CIGNA PROVIDER NUMBER
NC
Enumeration date
07/14/2009
Last updated
04/01/2013
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