MEDICARE: NMC SURGERY CENTER, L.P.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	261QA1903X	Ambulatory Surgical Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	45C0001267	OTHER		MEDICARE DME PROVIDER #

Other Identifiers

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

General Provider Information

NPI Number	:	1225064736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NMC SURGERY CENTER, L.P.

Provider Business Mailing Address
First Line	:	4948 NE STALLINGS DR
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1265
Country	:	US
Telephone Number	:	936-305-9212
Fax Number	:	939-280-5901

Provider Business Practice Location Address
First Line	:	4948 NE STALLINGS DR
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1265
Country	:	US
Telephone Number	:	363-059-2129
Fax Number	:	939-280-5901

Authorized Official
Title or Position	:	OFFICER / AUTHORIZED OFFICIAL
Name	:	JILL FINKE
Credential	:
Telephone Number	:	936-305-9212

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	02/17/2026

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