Organization Active NPI

Valley Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Florence, AL
National Provider Identifier
1063506707
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
12132 Issued in AL
Legal business name
VALLEY SURGERY CENTER, L.L.C.
Practice address
4819 Huntsville Road
Florence, AL 35630
Phone
(256) 768-1711
Fax
(256) 764-7090
NPI assigned
Oct 3, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. G. Michael Taft, D.O.
Title
President
Phone
(256) 768-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 12132 AL Primary

Addresses

Primary practice location

4819 Huntsville Road
Florence, AL 35630

Mailing address

4819 Huntsville Road
Florence, AL 35630
Phone (256) 768-1711

Other identifiers 2

IdentifierTypeStateIssuer
051550837MedicaidAL
ASC0056CMedicaidAL

National Provider Directory

National Provider Directory

Locations

4819 Huntsville Rd
Florence, AL 35630
Phone (256) 768-1711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1063506707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 HUNTSVILLE ROAD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-768-1711",
            "fax_number": "256-764-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 HUNTSVILLE ROAD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-768-1711",
            "fax_number": "256-764-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-768-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "12132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550837",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC0056C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.