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Organization
BECKLEY SURGERY CENTER, INC
Active
Organization
BECKLEY SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JEFFERDS SINCLAIR (AUTHORIZED OFFICIAL)
(304) 343-3937
Entity
Organization
Contact information
Practice address
84 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-2724
(304) 255-3691
Mailing address
84 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 255-2724
(304) 255-3691
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1351
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000394182
BCBS PAY TO ID
WV
01
—
1047629
WORKERS COMP PROV #
WV
01
—
490004321
RAILROAD MEDICARE NUMBER
WV
05
—
5080008000
—
WV
Enumeration date
11/02/2005
Last updated
05/19/2025
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