# BLUERIDGE HEALTHCARE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1740848662
- **Authorized official:** MR. ROBERT FRITTS (CFO/SVP)
- **Authorized official phone:** (828) 580-4220

## Contact information

- **Practice address:** 720 MALCOLM BLVD, VALDESE, NC 28690
- **Practice address phone:** (828) 580-7613
- **Practice address fax:** (828) 580-7665
- **Mailing address:** PO BOX 700, VALDESE, NC 28690-0700
- **Mailing address phone:** (828) 580-7613
- **Mailing address fax:** (828) 580-7665

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 06/05/2019