Organization
UNION HEALTH SERVICES, LLC
Active
Parent organization
UNION MEMORIAL REGIONAL MEDICAL CENTER, INC
Other names
Atrium Health Surgery Center Indian Trail
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNION MEMORIAL REGIONAL MEDICAL CENTER, INC
Authorized official
JAMIE COLLETT (ADMINISTRATOR)
(704) 821-5192
Entity
Organization
Contact information
Practice address
6068 W HIGHWAY 74, INDIAN TRAIL, NC 28079-3591
(704) 821-5192
(704) 821-5193
Mailing address
6068 W HIGHWAY 74, INDIAN TRAIL, NC 28079-3591
(704) 821-5192
(704) 821-5193
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS0132
STATE LICENSE
NC
Enumeration date
10/22/2010
Last updated
10/20/2022
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