Organization
DECATUR SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW HETRICK (ADMINISTRATOR)
(256) 340-1212
Entity
Organization
Contact information
Practice address
2828 HIGHWAY 31 SOUTH, DECATUR, AL 35603
(256) 340-1212
(256) 340-0252
Mailing address
PO BOX 747, DECATUR, AL 35602
(256) 340-1212
(256) 340-0252
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
U5201
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC0002C
—
AL
Enumeration date
02/01/2007
Last updated
11/15/2007
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