THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC – NPI #1033373691
Clinic/Center

THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC is an AHC clinic located in MOUNT PLEASANT, SC. NPPES has assigned the NPI number 1033373691 to THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC on July 14, 2008. 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 last updated on Oct 29, 2024. 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 THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC below.

NPI Profile for
THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC

NPI Number
1033373691
Enumeration Date

(about 18 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
THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC
Primary location
1625 HOSPITAL DRIVE
SUITE 110
MOUNT PLEASANT, SC 29464
Phone: (843) 849-1551 Fax: (843) 884-1174
Mailing address
1625 HOSPITAL DR STE 110
MT PLEASANT, SC 29464-3892
Phone: (843) 849-1551 Fax: (843) 884-1745
Organization Subpart
No
Authorized Official
COLLIN LEMASTRIE
OFFICER / AUTHORIZED OFFICIAL
Phone: (469) 250-3640
Updated
Certification Date
Oct 29, 2024

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.

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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
2.16.840.1.113883.3.667.2
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669