Organization
TRI-STATE SURGICAL CENTER, LLC
Active
Parent organization
TRI-STATE SURGICAL CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE SURGICAL CENTER, LLC
Authorized official
HILDA LYNN HOFFMASTER (BILLING/CODING MANAGER)
(304) 263-5129
Entity
Organization
Contact information
Practice address
1006 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 267-0556
(304) 267-1460
Mailing address
1006 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 267-0556
(304) 267-1460
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6905041000
—
WV
Enumeration date
07/07/2020
Last updated
07/09/2020
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