Organization Name: | HAYMARKET SURGERY CENTER, LLC |
NPI Number: | 1952749491 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTY FRANCK (ADMINISTRATOR) |
Mailing Address: | 15195 Heathcote Blvd Ste 210 Haymarket |
State: | VA US |
Postal Code: | 201696242 |
Phone Number: | 5714453800 |
Fax Number: | 5712619812 |
NPI Enumeration Date: | 06/06/2013 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |