1437289535 NPI number — BI-CITY SURGICAL CENTRE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437289535 NPI number — BI-CITY SURGICAL CENTRE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BI-CITY SURGICAL CENTRE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437289535
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1900 10TH AVE
Provider Second Line Business Mailing Address:
SUITE 305A
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31901-3600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-327-5300
Provider Business Mailing Address Fax Number:
706-317-4203

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1900 10TH AVE
Provider Second Line Business Practice Location Address:
SUITE 305A
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31901-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-327-5300
Provider Business Practice Location Address Fax Number:
706-317-4203
Provider Enumeration Date:
03/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ASANTE
Authorized Official First Name:
DOROTHY
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
706-327-5300

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  000628 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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