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Organization
SURGI-CENTER OF WINCHESTER, INC
Active
Organization
SURGI-CENTER OF WINCHESTER, INC
Active
Other names
Surgi-Center of Winchester
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J KLIEWER MD (MEDICAL DIRECTOR)
(540) 536-7870
Entity
Organization
Contact information
Practice address
1860 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-7870
(540) 667-4197
Mailing address
1860 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-7870
(540) 667-4197
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH 675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017527000
—
WV
01
—
0040029
SLH
VA
01
—
007666501
VIRGINIA PREMIER
VA
05
—
007666501
—
VA
01
—
095822
ANTHEM
VA
01
—
2122068
MAMSI,MAPSI,MDIPA
VA
01
—
84009
SOUTHERN HEALTH
VA
Enumeration date
06/05/2006
Last updated
06/15/2010
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