| Organization Name: | KHS AMBULATORY SURGERY CENTER, LLC |
| NPI Number: | 1124261771 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE L. REED (MANAGER MEDICARE ENROLLMENT) |
| Mailing Address: | 405 Hurffville Cross Keys Rd Suite 210 Sewell |
| State: | NJ US |
| Postal Code: | 080809344 |
| Phone Number: | 8565822072 |
| Fax Number: | 8565828073 |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 24339 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |