NORTHEAST SURGICAL CENTER – NPI #1205026069
Clinic/Center

NORTHEAST SURGICAL CENTER is an AHC clinic located in EL PASO, TX. NPPES has assigned the NPI number 1205026069 to NORTHEAST SURGICAL CENTER on July 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHEAST SURGICAL CENTER” is a dba name, the actual legal business name for this organization is COHEN AVE SURGERY CENTER, LLC. 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 17 years ago on Feb 27, 2009. 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 NORTHEAST SURGICAL CENTER below.

NPI Profile for
COHEN AVE SURGERY CENTER, LLC

NPI Number
1205026069
Enumeration Date

(about 19 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
COHEN AVE SURGERY CENTER, LLC
Doing Business As (dba): NORTHEAST SURGICAL CENTER
Primary location
4659 COHEN AVE.
SUITE B
EL PASO, TX 79924-4415
Phone: (915) 751-0000 Fax: (915) 751-0464
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LLOYD WILLIAMS
MEMBER
Phone: (915) 751-0000
Updated
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)		 TX PENDING

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.