Organization Name: | NOVAMED EYE SURGERY CENTER OF NEW ALBANY, LLC |
NPI Number: | 1053319053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT MACOMBER (EVP OF THE MANAGER) |
Mailing Address: | 520 W 1st St New Albany |
State: | IN US |
Postal Code: | 471503603 |
Phone Number: | 8129493442 |
Fax Number: | 8129493441 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |