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NPI Code Detail

MEDICARE: SURGERY CENTER OF CENTRAL VIRGINIA INC.

MEDICARE: SURGERY CENTER OF CENTRAL VIRGINIA INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center010104210VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1490003665OTHERVAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215957816
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGERY CENTER OF CENTRAL VIRGINIA INC.
Provider Business Mailing Address
First Line : 2010 BREMO RD STE 128A
Second Line :
City : RICHMOND
State : VA
Zip : 23226-2444
Country : US
Telephone Number : 877-969-0392
Fax Number : 804-658-0582
Provider Business Practice Location Address
First Line : 1835 GRAVES MILL RD
Second Line : SUITE 1
City : FOREST
State : VA
Zip : 24551-3967
Country : US
Telephone Number : 434-385-5600
Fax Number : 434-385-1414
Authorized Official
Title or Position : INSURANCE MANAGER
Name : AMY BURTON
Credential :
Telephone Number : 434-661-7762
Provider Enumeration Date : 07/20/2006
Last Update Date : 09/19/2025

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Directions to “SURGERY CENTER OF CENTRAL VIRGINIA INC. ” Practice Location

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