PRIME SURGICAL SUITES, LLC – NPI #1437623626
Clinic/Center

PRIME SURGICAL SUITES, LLC is an AHC clinic located in GRANITE FALLS, NC. NPPES has assigned the NPI number 1437623626 to PRIME SURGICAL SUITES, LLC on January 22, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is SCSV, 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 last updated on Nov 08, 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 PRIME SURGICAL SUITES, LLC below.

NPI Profile for
PRIME SURGICAL SUITES, LLC

NPI Number
1437623626
Enumeration Date

(more than 7 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
PRIME SURGICAL SUITES, LLC
Former Legal Business Name: SCSV, LLC
Primary location
180 RIVERBEND DR
GRANITE FALLS, NC 28630
Phone: (828) 757-5100 Fax:
1 Other location(s):
321 Mulberry St SW
Lenoir, NC 28645
Phone: (828) 757-5100
Mailing address
321 MULBERRY ST SW
LENOIR, NC 28645-5720
Phone: (828) 757-5100 Fax:
Organization Subpart
No
Authorized Official
KAREN SHADOWENS
VP, CFO
Phone: (828) 757-5100
Updated
Certification Date
Nov 08, 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.