Healthcare Provider Details

I. General information

NPI: 1164386645
Provider Name (Legal Business Name): ASC OF FINCASTLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 OLD FINCASTLE RD
FINCASTLE VA
24090-3136
US

IV. Provider business mailing address

188 OLD FINCASTLE RD
FINCASTLE VA
24090-3136
US

V. Phone/Fax

Practice location:
  • Phone: 540-473-2288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JESS DALTON
Title or Position: PRESIDENT
Credential:
Phone: 480-277-3041