Provider Demographics
NPI:1306581509
Name:SINGING RIVER SURGERY CENTER LLC
Entity type:Organization
Organization Name:SINGING RIVER SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-386-4551
Mailing Address - Street 1:P.O. BOX 610
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660
Mailing Address - Country:US
Mailing Address - Phone:256-386-4557
Mailing Address - Fax:256-386-4559
Practice Address - Street 1:301 EAST HOBSON STREET
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674
Practice Address - Country:US
Practice Address - Phone:256-386-5900
Practice Address - Fax:256-386-5911
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HH HEALTH SYSTEM - SHOALS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical