SURGERY CENTER OF PINEHURST, LLC – NPI #1003860917
Clinic/Center

SURGERY CENTER OF PINEHURST, LLC is an AHC clinic located in PINEHURST, NC. NPPES has assigned the NPI number 1003860917 to SURGERY CENTER OF PINEHURST, LLC on May 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Mar 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURGERY CENTER OF PINEHURST, LLC below.

NPI Profile for
SURGERY CENTER OF PINEHURST, LLC

NPI Number
1003860917
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SURGERY CENTER OF PINEHURST, LLC
Primary location
10 FIRST VILLAGE DRIVE
PINEHURST, NC 28374
Phone: (910) 235-5000 Fax: (910) 295-5739
Mailing address
PO BOX 63194
CHARLOTTE, NC 28263-3194
Phone: (910) 235-5000 Fax: (910) 295-5739
Organization Subpart
No
Authorized Official
NICK CRANSTON
ADMINISTRATOR
Phone: (910) 235-5010
Updated
Certification Date
Mar 22, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SURGERY CENTER OF PINEHURST, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDNC0061T
otherUS DEPT OF LABOR611152900
medicaidNC3409939
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
NC 34C0001114

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.