| Organization Name: | CARILION SURGERY CENTER NEW RIVER VALLEY, LLC |
| NPI Number: | 1114924651 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TANYA NMN SURFACE (ADMINISTRATIVE DIRECTOR) |
| Mailing Address: | 2901 Lamb Cir Christiansburg |
| State: | VA US |
| Postal Code: | 240736347 |
| Phone Number: | 5406395888 |
| Fax Number: | 5406399363 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 06/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | OH 644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |