COMMONWEALTH SURGICAL SERVICES, LLC; NPI #1225228059

Contact Information

COMMONWEALTH SURGICAL SERVICES, LLC

1725 ASHLEY CIR STE 211
BOWLING GREEN, KY 42104-5820

Phone: 270-782-0434
Fax: 270-782-0564
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for COMMONWEALTH SURGICAL SERVICES, LLC

NPI #	`1225228059`
LBN Legal business name	COMMONWEALTH SURGICAL SERVICES, LLC
Authorized official	KIMBERLY WILSON - (OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/27/2007
Last updated	07/27/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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