Provider Demographics
NPI:1487891016
Name:FOXHALL AMBULATORY SURGERY CENTER
Entity type:Organization
Organization Name:FOXHALL AMBULATORY SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-943-6023
Mailing Address - Street 1:PO BOX 1996
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12402-1996
Mailing Address - Country:US
Mailing Address - Phone:845-943-6023
Mailing Address - Fax:845-943-6077
Practice Address - Street 1:64 JANSEN AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-9989
Practice Address - Country:US
Practice Address - Phone:845-943-6023
Practice Address - Fax:945-943-6077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical