Organization Name: | BLUFFTON OKATIE SURGERY CENTER, L.L.C. |
NPI Number: | 1295163715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
Mailing Address: | 40 Okatie Center Blvd S Suite 125 Okatie |
State: | SC US |
Postal Code: | 299097507 |
Phone Number: | 8437058804 |
Fax Number: | 8437058950 |
NPI Enumeration Date: | 10/18/2013 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | ASF-0075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |