| Organization Name: | TUCKAHOE SURGERY CENTER LP |
| NPI Number: | 1053375873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DON LIEDTKE (VICE PRESIDENT) |
| Mailing Address: | 7640 E Parham Rd Henrico |
| State: | VA US |
| Postal Code: | 232944300 |
| Phone Number: | 8042854763 |
| Fax Number: | 8042888946 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 05/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | OH676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |