Organization
WB SURGERY CENTER, LLC
Active
Other names
West Bank Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3704 LAPALCO BLVD, HARVEY, LA 70058-2332
(985) 234-9700
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15028
MEDICARE PTAN
—
Enumeration date
04/13/2009
Last updated
11/27/2022
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