Healthcare Provider Details

I. General information

NPI: 1730296997
Provider Name (Legal Business Name): DAY SURGERY LIMITED LIABILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 10/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 CHESTERFIELD AVE SUITE 400
CHARLESTON WV
25304-1066
US

IV. Provider business mailing address

2335 CHESTERFIELD AVE SUITE 400
CHARLESTON WV
25304-1066
US

V. Phone/Fax

Practice location:
  • Phone: 304-925-9300
  • Fax: 304-925-2924
Mailing address:
  • Phone: 304-925-9300
  • Fax: 304-925-2924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS OLIVIA GARTON
Title or Position: ADMINISTRATOR
Credential: MBA
Phone: 304-925-9300