# PRESBYTERIAN SAMEDAY SURGERY CENTER AT HUNTERSVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Huntersville Outpatient Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063641801
- **Authorized official:** FRED M HARGETT (CFO)
- **Authorized official phone:** (704) 384-5184

## Contact information

- **Practice address:** 10030 GILEAD ROAD, HUNTERSVILLE, NC 28078
- **Practice address phone:** (704) 316-4010
- **Practice address fax:** (704) 316-6706
- **Mailing address:** 2085 FRONTIS PLAZA BOULEVARD, WINSTON-SALEM, NC 27103
- **Mailing address phone:** (336) 277-7226
- **Mailing address fax:** (336) 277-9795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2009
- **Last updated:** 04/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2379000 | MEDICARE PTAN | NC |
| 01 | — | 2839020 | CIGNA PROVIDER NUMBER | NC |