Provider Demographics
NPI:1578328712
Name:INFIRMARY ASC - SARALAND, LLC
Entity Type:Organization
Organization Name:INFIRMARY ASC - SARALAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-374-6496
Mailing Address - Street 1:HEALTH CARE FACILITY PARTNERS
Mailing Address - Street 2:7110 CROSSROADS BLVD, SUITE 200
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027
Mailing Address - Country:US
Mailing Address - Phone:615-550-2600
Mailing Address - Fax:
Practice Address - Street 1:75 SHELL ST STE 300
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-2202
Practice Address - Country:US
Practice Address - Phone:614-374-6496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical