MEMORIAL AMBULATORY SURGERY CENTER (NPI# 1467468603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467468603 |
Entity Type | Organization |
Organization Name | MEMORIAL AMBULATORY SURGERY CENTER |
Other Organization Name | MEMORIAL AMBULATORY SURGERY CENTER |
Practice Address |
8262 Atlee Road, Mob IIi, Suite #100 Mechanicsville VA 23116 |
Mailing Address |
8262 Atlee Rd Ste 100 Mechanicsville VA 23116-1816 |
Practice Telephone | 8047466969 |
Practice Fax Number | 8047466950 |
Mailing Telephone | 8047466969 |
Mailing Fax Number | 8047466950 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2012-01-04 |
NPI Deactivation Date | 04/28/2011 |
NPI Reactivation Date | 2011-12-29 |
Authorized Official Name | DANIELLE NUGENT (MANAGER) |
Authorized Official Telephone | 8042877881 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OH696 | VA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Memorial Ambulatory Surgery Center | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEMORIAL AMBULATORY SURGERY CENTER LLC | 160 Madison Ave, Mount Holly, NJ 08060-2037 |
Virginia Business Entities | Memorial Ambulatory Surgery Center LLC | C/o Bon Secours Richmond Health System, 5801 Bremo Rd, Richmond, Virginia 23226 |
Street Address |
8262 ATLEE ROAD, MOB III, SUITE #100 |
City | MECHANICSVILLE |
State | VA |
Zip Code | 23116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
Find all providers in zip 23116 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528153111 | Mechanicsville Ambulatory Surgery Center, LLC | Clinic/Center | 28227 Three Notch Road, Mechanicsville, MD 20659 | 2006-10-03 |
1568489086 | Med Atlantic Inc | Clinic/Center | 8228 Meadowbridge Rd, Mechanicsville, VA 23116-2331 | 2006-07-17 |
1083677595 | Hanover Outpatient Surgery Center, L.p. | Clinic/Center | 7016 Lee Park Rd, Mechanicsville, VA 23111-3682 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
1093344210 | Virginia Womens Center for Aesthetics | Clinic/Center | 19490 Sandridge Way Ste 360, Leesburg, VA 20176-3467 | 2020-04-08 |
1306486634 | Fredericksburg Endoscopy Center, LLC | Clinic/Center | 1211 Central Park Blvd, Fredericksburg, VA 22401-4912 | 2020-01-15 |
1063058303 | Chesapeake Regional Surgery Center At Virginia Beach, LLC | Clinic/Center | 229 Clearfield Ave Ste 200, Virginia Beach, VA 23462-1815 | 2019-11-21 |
1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
1720543481 | Surgical Suites of Coastal Virginia, LLC | Clinic/Center | 400 Sentara Cir Ste 200, Williamsburg, VA 23188-5716 | 2019-02-07 |
1962980045 | New Womens Health Charlottesville | Clinic/Center | 2050 Abbey Rd Ste D, Charlottesville, VA 22911-3553 | 2018-08-01 |
1518450790 | Virginia Ent Surgery Center Inc | Clinic/Center | 6600 W Broad St Ste 210, Richmond, VA 23230-1709 | 2018-06-12 |
1336649714 | Healthqare Services Asc LLC | Clinic/Center | 1005 N Glebe Rd Ste 200, Arlington, VA 22201-5792 | 2018-02-13 |
1104349489 | Valley Health Surgery Center, LLC | Clinic/Center | 174 Botanical Boulevard, Winchester, VA 22603 | 2017-07-19 |
Find all providers with the same taxonomy |
City | MECHANICSVILLE |
Zip Code | 23116 |
Please comment or provide details below to improve the information on MEMORIAL AMBULATORY SURGERY CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.