NPIMap

Organization Active NPI

Western Kentucky Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lewes, DE
National Provider Identifier
1831149608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in KY
Legal business name
WESTERN KENTUCKY AMBULATORY SURGERY CENTER LLC
Practice address
210 Tanglewood Dr
Lewes, DE 19958-9545
Phone
(302) 542-2770
Fax
(302) 261-0209
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric Lee
Title
Board Member
Phone
(270) 887-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PENDING KY Primary

Addresses

Primary practice location

210 Tanglewood Dr
Lewes, DE 19958-9545

Mailing address

8250 Eagle Way
Hopkinsville, KY 42241
Phone (302) 542-2770

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831149608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 EAGLE WAY",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42241",
            "telephone_number": "302-542-2770",
            "fax_number": "302-261-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TANGLEWOOD DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199589545",
            "telephone_number": "302-542-2770",
            "fax_number": "302-261-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "270-887-0224"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KY",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.