MEDICAL VILLAGE SURGICAL CENTER – NPI #1750331500
Clinic/Center

MEDICAL VILLAGE SURGICAL CENTER is an AHC clinic located in TAMPA, FL. NPPES has assigned the NPI number 1750331500 to MEDICAL VILLAGE SURGICAL CENTER on May 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL VILLAGE SURGICAL CENTER” is a dba name, the actual legal business name for this organization is ARMENIA AMBULATORY 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 7 years ago on Dec 17, 2018. 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 MEDICAL VILLAGE SURGICAL CENTER below.

NPI Profile for
ARMENIA AMBULATORY SURGERY CENTER LLC

NPI Number
1750331500
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
ARMENIA AMBULATORY SURGERY CENTER LLC
Doing Business As (dba): MEDICAL VILLAGE SURGICAL CENTER
Primary location
2333 W HILLSBOROUGH AVE STE 120
TAMPA, FL 33603-1052
Phone: (813) 871-9032 Fax: (813) 870-9543
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
AUTHORIZED OFFICIAL
Phone: (615) 234-5900
Updated
Identifiers

Identifiers for MEDICAL VILLAGE SURGICAL CENTER

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 SHIELDFL68H
MEDICAIDFL070425300
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)
FL 1094

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.