Organization
SURE CARE SURGICAL FIRST ASSISTANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HATCHER CFA (OWNER)
(502) 384-3040
Entity
Organization
Contact information
Practice address
4119 BROWNS LN, STE 2B, LOUISVILLE, KY 40220-1500
(502) 454-7766
(502) 451-9291
Mailing address
9730 TIMBERBROOK DR, LOUISVILLE, KY 40223-3507
(502) 384-3040
(502) 384-3040
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
92480
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351525
ANTHEM
KY
Enumeration date
05/18/2007
Last updated
08/22/2020
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