1952336521 NPI number — CASC AQUISITION INC

Table of content: (NPI 1952336521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952336521 NPI number — CASC AQUISITION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASC AQUISITION 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:
CAROLINA AMBULATORY SURGERY CENTER
Provider Other Organization Name Type Code:
3
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:
1952336521
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 PEPPER HILL WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AIKEN
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29801-2818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-642-6060
Provider Business Mailing Address Fax Number:
803-642-0754

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 PEPPER HILL WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AIKEN
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29801-2818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-642-6060
Provider Business Practice Location Address Fax Number:
803-642-0754
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WHEELER
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
DIRECTOR OF NURSING
Authorized Official Telephone Number:
803-642-6060

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  ASF-082 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com