# ROCKY HILL SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083188478
- **Authorized official:** LUCILLE FORMEISTER (MANAGER)
- **Authorized official phone:** (860) 667-9542

## Contact information

- **Practice address:** 1111 CROMWELL AVE STE 100, ROCKY HILL, CT 06067-3449
- **Practice address phone:** (860) 667-9542
- **Practice address fax:** (860) 667-2066
- **Mailing address:** 100 AVON MEADOW LN, AVON, CT 06001-4703
- **Mailing address phone:** (860) 667-9542
- **Mailing address fax:** (860) 667-2066

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2019
- **Last updated:** 01/21/2019