Organization
HAYMARKET SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN O'CONNOR (OFFICER / AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
15195 HEATHCOTE BLVD STE 210, HAYMARKET, VA 20169-6242
(571) 445-3800
(571) 261-9812
Mailing address
15195 HEATHCOTE BLVD STE 210, HAYMARKET, VA 20169-6245
(571) 445-3800
(571) 261-9812
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49C0001062
MEDICARE CCN
—
Enumeration date
06/06/2013
Last updated
09/13/2024
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