# HHC SOUTHINGTON SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cheshire Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528479664
- **Authorized official:** LUCILLE FORMEISTER (DIRECTOR BUSINESS SYSTEMS)
- **Authorized official phone:** (860) 667-9542

## Contact information

- **Practice address:** 765 WEST JOHNSON AVENUE, CHESHIRE, CT 06410
- **Practice address phone:** (860) 378-8228
- **Mailing address:** PO BOX 956, AVON, CT 06001
- **Mailing address phone:** (860) 667-2066

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 09/21/2021