Provider Demographics
NPI:1922729847
Name:PARDEE AMBULATORY SURGERY CENTER LLC
Entity Type:Organization
Organization Name:PARDEE AMBULATORY SURGERY CENTER LLC
Other - Org Name:THE SURGERY CENTER AT MILLS RIVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-595-3115
Mailing Address - Street 1:3831 BOYLSTON HWY
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759
Mailing Address - Country:US
Mailing Address - Phone:828-595-3115
Mailing Address - Fax:828-595-3114
Practice Address - Street 1:3831 BOYLSTON HWY
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759
Practice Address - Country:US
Practice Address - Phone:828-595-3115
Practice Address - Fax:828-595-3114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical