NPI Code Detail JSON Logo

1346349164 NPI number — SOUTHERN ALABAMA SURGERY CENTER LLC

NPI Number: 1346349164
Health Care Provider/Practitioner: SOUTHERN ALABAMA SURGERY CENTER LLC

Information about “1346349164” NPI (SOUTHERN ALABAMA SURGERY CENTER LLC) exists in 1346349164 in HTML format HTML  |  1346349164 in plain Text format TXT  |  1346349164 in PDF (Portable Document Format) PDF  |  1346349164 in an XML format XML  formats.

NPI Number : 1346349164 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346349164",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOUTHERN ALABAMA SURGERY CENTER LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2800 ROSS CLARK CIRCLE",
    "SecondLineMailingAddress": "SUITE 3",
    "MailingAddressCityName": "DOTHAN",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-793-3411",
    "MailingAddressFaxNumber": "334-712-0227",
    "FirstLinePracticeLocationAddress": "2800 ROSS CLARK CIR",
    "SecondLinePracticeLocationAddress": "SUITE 3",
    "PracticeLocationAddressCityName": "DOTHAN",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36301-2040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-793-3411",
    "PracticeLocationAddressFaxNumber": "334-712-0227",
    "EnumerationDate": "09/21/2006",
    "LastUpdateDate": "10/23/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BYRD",
    "AuthorizedOfficialFirstName": "SHARRON",
    "AuthorizedOfficialMiddleName": "ALANE",
    "AuthorizedOfficialTitle": "ADMINISTER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "334-793-3411",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": "12124",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA1903X",
          "TaxonomyName": "Ambulatory Surgical Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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