| Name: | Valley Surgery Center, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Apr 1999 (26 years ago) (Companies founded in April 1999) |
| Entity Number: | 000-663-936 |
| Register Number: | 000663936 |
| ZIP code: | 35630 (Companies in Lauderdale, 35630) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 4819 HUNTSVILLE ROADFLORENCE, AL 35630 |
Activities
SURGICAL FACILITY TO PROVIDE SURGERY PROCEDURES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063506707 | 2006-10-03 | 2008-07-15 | 4819 HUNTSVILLE ROAD, FLORENCE, AL, 35630, US | 4819 HUNTSVILLE ROAD, FLORENCE, AL, 35630, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-768-1711 |
| Fax | 2567647090 |
Authorized person
| Name | DR. G. MICHAEL TAFT |
| Role | PRESIDENT |
| Phone | 2567681711 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 12132 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051550837 |
| State | AL |
| Issuer | MEDICAID |
| Number | ASC0056C |
| State | AL |
| Name | Role |
|---|---|
| TAFT, G MICHAEL | Agent |
| Name | Role | Address |
|---|---|---|
| TAFT, G MICHAEL | Member | No data |
| KIM, WONSUCK | Member | 646 COX CREEK PARKWAY, SUITE AFLORENCE, AL 35630 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
