PREMIER SURGICAL CENTER, LLC – NPI #1093214819
Clinic/Center

PREMIER SURGICAL CENTER, LLC is an AHC clinic located in MADISON, MS. NPPES has assigned the NPI number 1093214819 to PREMIER SURGICAL CENTER, LLC on February 07, 2018. 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 2 years ago on Mar 12, 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 PREMIER SURGICAL CENTER, LLC below.

NPI Profile for
PREMIER SURGICAL CENTER, LLC

NPI Number
1093214819
Enumeration Date

(more than 8 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
PREMIER SURGICAL CENTER, LLC
Primary location
160 FOUNTAINS BLVD
MADISON, MS 39110
Phone: (601) 968-8132 Fax: (601) 944-9780
Mailing address
160 FOUNTAINS BLVD STE C
MADISON, MS 39110-6380
Phone: (601) 391-2525 Fax: (601) 586-5315
Organization Subpart
No
Authorized Official
REBEKAH HENDERSON
OR AMINISTRATOR
Phone: (601) 391-2525
Updated
Certification Date
Mar 12, 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.