SURGERY CENTER OF DECATUR LP


Address: 1122 14th Avenue Se, Decatur, AL 35601-3361
Phone: 2565602890

SURGERY CENTER OF DECATUR LP (NPI# 1962513788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962513788
Entity Type Organization
Organization Name SURGERY CENTER OF DECATUR LP
Practice Address 1122 14th Avenue Se
Decatur
AL 35601-3361
Mailing Address Po Box 1164
Decatur
AL 35602-1164
Practice Telephone 2565602890
Practice Fax Number 2565602891
Mailing Telephone 2565602890
Mailing Fax Number 2565602891
Enumeration Date 2006-08-31
Last Update Date 2013-08-09
Authorized Official Name MRS. JENNIFER LATHRAM (ADMINISTRATOR)
Authorized Official Telephone 2565602890
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
12143 AL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AL ABC0073C 05

Office Location

Street Address 1122 14TH AVENUE SE
City DECATUR
State AL
Zip Code 35601-3361

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000679 Monica Dawn Ross Counselor 106 Lee St. Ne, Suite C, Decatur, AL 35601 2019-02-23
1063950319 Samantha Elizabeth Pickett Nurse Practitioner 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 2017-02-07
1497208250 Beronica Goodwin Home Health Aide 1102b Suite #2 4th Ave Se, Decatur, AL 35601 2016-07-28
1770957177 Xochitl Dupre Obstetrics & Gynecology 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 2015-11-23
1104224708 River City Psychiatry, Inc. Community/Behavioral Health 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 2014-12-12
1760882690 Derrick Aaron Randolph Registered Nurse 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 2014-08-28
1427465434 Martha Read Family Medicine 2208 Danville Rd Sw Ste A, Decatur, AL 35601 2014-07-22
1205242948 Pure Heart Home Care of Alabama, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 107 B 14th Street Sw, Decatur, AL 35601 2014-07-02
1720492242 Christopher John Phillips Emergency Medicine 1201 7th Street Se, Decatur, AL 35601 2014-06-12
1366794711 Complete Dental Decatur LLC Dentist 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 2012-10-10
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1699328369 Georgia Urology, Pa Clinic/Center 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 2019-07-22
1568984375 American Access Care of Atlanta Asc LLC Clinic/Center 250 E Ponce Deleon Avenue, Suite 100, Decatur, GA 30030-3406 2017-07-13
1194255372 Decatur Urology Surgery Center Clinic/Center 2711 Irvin Way Ste 101, Decatur, GA 30030 2017-06-19
1891716049 Georgia Urology Ambulatory Surgical Center LLC Clinic/Center 2685 Milscott Dr, Decatur, GA 30033-5906 2006-07-22
1134185564 Decatur Digestive Disease Center LLC Clinic/Center 2 Memorial Dr Suite 102, Physician Plaza West, Decatur, IL 62526-3950 2006-04-25
1730601865 Snapfinger Vascular Access Center Asc LLC Clinic/Center 5246 Snapfinger Park Dr, Decatur, GA 30035-4044 2017-07-11
1043660442 Georgia Interventional Pain - D, LLC Clinic/Center 484 Irvin Ct, Suite 130, Decatur, GA 30030-5406 2016-06-16
1568705846 Dekalb Center for Foot and Ankle Surgery, LLC Clinic/Center 215 Clairemont Ave, Decatur, GA 30030-2508 2013-04-04
1922262278 Eps Surgical Center, LLC Clinic/Center 1457 Scott Blvd, Decatur, GA 30030-1425 2008-07-16
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Competitor

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City DECATUR
Zip Code 35601

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Dataset Information

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.

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