Healthcare Provider Details

I. General information

NPI: 1902877509
Provider Name (Legal Business Name): CULPEPER SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 SUNSET LANE SUITE 201
CULPEPER VA
22701
US

IV. Provider business mailing address

541 SUNSET LANE SUITE 201
CULPEPER VA
22701
US

V. Phone/Fax

Practice location:
  • Phone: 540-829-0700
  • Fax: 540-829-8191
Mailing address:
  • Phone: 540-829-0700
  • Fax: 540-829-8191

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: CHARLES CODER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 541-284-1163