Healthcare Provider Details

I. General information

NPI: 1215957816
Provider Name (Legal Business Name): SURGERY CENTER OF CENTRAL VIRGINIA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 GRAVES MILL RD SUITE 1
FOREST VA
24551-3967
US

IV. Provider business mailing address

2010 BREMO RD STE 128A
RICHMOND VA
23226-2444
US

V. Phone/Fax

Practice location:
  • Phone: 434-385-5600
  • Fax: 434-385-1414
Mailing address:
  • Phone: 877-969-0392
  • Fax: 804-658-0582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number010104210
License Number StateVA

VIII. Authorized Official

Name: AMY BURTON
Title or Position: INSURANCE MANAGER
Credential:
Phone: 434-661-7762