NPIMap

Organization Active NPI

Memorial Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Mechanicsville, VA
National Provider Identifier
1467468603
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OH696 Issued in VA
Legal business name
MEMORIAL AMBULATORY SURGERY CENTER
Doing business as
Memorial Ambulatory Surgery Center
Practice address
8262 Atlee Road, Mob III, Suite #100
Mechanicsville, VA 23116
Phone
(804) 746-6969
Fax
(804) 746-6950
NPI assigned
Jul 31, 2006
Reactivated
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Danielle Nugent
Title
Manager
Phone
(804) 287-7881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OH696 VA Primary

Addresses

Primary practice location

8262 Atlee Road, Mob III, Suite #100
Mechanicsville, VA 23116

Mailing address

8262 Atlee Rd Ste 100
Mechanicsville, VA 23116-1816
Phone (804) 746-6969

Other names 1

  • Memorial Ambulatory Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1467468603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 ATLEE RD STE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161816",
            "telephone_number": "804-746-6969",
            "fax_number": "804-746-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 ATLEE ROAD, MOB III, SUITE #100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-746-6969",
            "fax_number": "804-746-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-01-04",
        "deactivation_date": "2011-04-28",
        "reactivation_date": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-287-7881"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.