# PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE 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
- **Other names:** Novant Health Ballantyne Outpatient Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215061049
- **Authorized official:** FRED M. HARGETT (EVP CFO)
- **Authorized official phone:** (704) 384-5184

## Contact information

- **Practice address:** 14215 BALLANTYNE CORPORATE PL STE 210, CHARLOTTE, NC 28277-3873
- **Practice address phone:** (704) 316-2650
- **Practice address fax:** (704) 316-2653
- **Mailing address:** 2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103
- **Mailing address phone:** (336) 277-1065
- **Mailing address fax:** (336) 277-9274

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 10/04/2018