Healthcare Provider Details

I. General information

NPI: 1487891016
Provider Name (Legal Business Name): FOXHALL AMBULATORY SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2009
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 JANSEN AVE
KINGSTON NY
12401-9989
US

IV. Provider business mailing address

PO BOX 1996
KINGSTON NY
12402-1996
US

V. Phone/Fax

Practice location:
  • Phone: 845-943-6023
  • Fax: 945-943-6077
Mailing address:
  • Phone: 845-943-6023
  • Fax: 845-943-6077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KELLY A MCGINNIS
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 845-943-6023