# MADISON SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1356369755
- **Authorized official:** MARY ANN KELLY (ADMINISTRATOR)
- **Authorized official phone:** (256) 319-9000

## Contact information

- **Practice address:** 460 LANIER RD, MADISON, AL 35758-2631
- **Practice address phone:** (256) 319-9000
- **Practice address fax:** (256) 319-9009
- **Mailing address:** 460 LANIER RD, MADISON, AL 35758-2631
- **Mailing address phone:** (256) 319-9000
- **Mailing address fax:** (256) 319-9009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 10441 | AL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/03/2023