Organization
MONTGOMERY SURGICAL CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE BRUTON (CHIEF FINANCIAL OFFICER)
(334) 747-4447
Entity
Organization
Contact information
Practice address
470 TAYLOR RD, SUITE 100, MONTGOMERY, AL 36117-3563
(334) 290-4530
Mailing address
470 TAYLOR RD, SUITE 100, MONTGOMERY, AL 36117-3563
(334) 290-4530
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
12140
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010301
BLUE CROSS BLUE SHIELD
AL
01
—
6810009
UNITED HEALTH CARE
AL
05
—
ASC0001C
—
AL
Enumeration date
09/28/2006
Last updated
01/26/2024
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