Organization
PRESBYTERIAN SAMEDAY SURGERY CENTER AT HUNTERSVILLE LLC
Active
Other names
Novant Health Huntersville Outpatient Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M HARGETT (CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
10030 GILEAD ROAD, HUNTERSVILLE, NC 28078
(704) 316-4010
(704) 316-6706
Mailing address
2085 FRONTIS PLAZA BOULEVARD, WINSTON-SALEM, NC 27103
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2379000
MEDICARE PTAN
NC
01
—
2839020
CIGNA PROVIDER NUMBER
NC
Enumeration date
07/14/2009
Last updated
04/01/2013
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