Organization
CENTRAL VIRGINIA SURGI-CENTER LP
Active
Other names
Surgi-Center of Central Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MONTGOMERY (OFFICER/AO)
(615) 545-9132
Entity
Organization
Contact information
Practice address
1500 DIXON ST, STE 101, MAILBOX 1, FREDERICKSBURG, VA 22401-7231
(540) 371-5349
(540) 373-1745
Mailing address
1500 DIXON ST STE 101, FREDERICKSBURG, VA 22401-7231
(540) 371-5349
(540) 373-1745
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH 674
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007604050
—
VA
01
—
1039920
AETNA HMO
VA
01
—
34196
APPEX BENEFIT SERVICE
VA
01
—
437844
ALLIANCE PPO
VA
01
—
442252
ANTHEM
VA
05
—
490005350
—
VA
01
—
62413
MAIL HANDLERS
VA
01
—
8561085
AETNA PPO
VA
01
—
87726A
UNITED HEALTH CARE
VA
01
—
95226
HARRINGTON BENEFIT SERV
VA
01
—
P00148932
RAILROAD MEDICARE
VA
Enumeration date
08/11/2005
Last updated
04/30/2026
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