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Organization
SURE CARE SURGICAL FIRST ASSISTANCE, LLC
Active
Organization
SURE CARE SURGICAL FIRST ASSISTANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HATCHER CFA (OWNER)
(502) 384-3040
Entity
Organization
Contact information
Practice address
4119 BROWNS LN, STE 2B, LOUISVILLE, KY 40220-1500
(502) 454-7766
(502) 451-9291
Mailing address
9730 TIMBERBROOK DR, LOUISVILLE, KY 40223-3507
(502) 384-3040
(502) 384-3040
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
92480
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351525
ANTHEM
KY
Enumeration date
05/18/2007
Last updated
08/22/2020
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