Provider Demographics
NPI:1609188390
Name:ACS SURGICAL SUITES, LLC
Entity Type:Organization
Organization Name:ACS SURGICAL SUITES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CORNELIUS
Authorized Official - Last Name:MCFADDEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:864-242-3223
Mailing Address - Street 1:29 ROCKY SLOPE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3909
Mailing Address - Country:US
Mailing Address - Phone:864-242-3223
Mailing Address - Fax:864-297-9184
Practice Address - Street 1:29 ROCKY SLOPE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3909
Practice Address - Country:US
Practice Address - Phone:864-242-3223
Practice Address - Fax:864-297-9184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical