Organization
ST. MARY'S AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MONTGOMERY (OFFICER/AUTHORIZED OFFICIAL)
(615) 545-9132
Entity
Organization
Contact information
Practice address
1501 MAPLE AVE, STE 300, RICHMOND, VA 23226-2553
(804) 287-7878
(804) 287-7879
Mailing address
1501 MAPLE AVE, STE 300, RICHMOND, VA 23226-2553
(804) 287-7878
(804) 287-7879
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH 702
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043236664
—
VA
01
—
P00380790
RAILROAD MEDICARE
VA
Enumeration date
07/15/2006
Last updated
09/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us