Organization
SURGERY CENTER JV
Active
Other names
The Surgery Center of Huntsville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SAMMONS (CEO)
(256) 533-4888
Entity
Organization
Contact information
Practice address
721 MADISON ST SE, HUNTSVILLE, AL 35801-4408
(256) 533-4888
(256) 532-9510
Mailing address
721 MADISON ST SE, HUNTSVILLE, AL 35801-4408
(256) 533-4888
(256) 532-9510
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QA1903X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010308
BCBS PROVIDER #
AL
01
—
165102800
OWCP PROVIDER #
AL
01
—
4287002
MEDIPLUS ID #
AL
01
—
490000353
RAILROAD MEDICARE PROVIDE
AL
01
—
51055040
BLUE SHIELD PROVIDER #
AL
01
—
6810002
UNITED HEALTH CARE PROV#
AL
01
—
8121099
AETNA PIN #
AL
05
—
ASC0005C
—
AL
Enumeration date
01/18/2007
Last updated
04/26/2011
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