Provider Demographics
NPI:1386190957
Name:HOLLY SPRINGS SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:HOLLY SPRINGS SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ORSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-762-4053
Mailing Address - Street 1:600 VILLAGE WALK DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540
Mailing Address - Country:US
Mailing Address - Phone:919-762-4030
Mailing Address - Fax:919-552-8615
Practice Address - Street 1:600 VILLAGE WALK DRIVE
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540
Practice Address - Country:US
Practice Address - Phone:919-762-4030
Practice Address - Fax:919-552-8615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical