OrganizationActive
Madison Ambulatory Surgery Center, LLC
NPI 1659313930 · Ambulatory Surgical Clinic/Center · Canton, MS
Provider details
- NPI number
- 1659313930
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Martell, Director(360) 402-1433
- License
- PENDING (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1883 Highway 43 S
Suite J
Canton, MS 39046-8405
Phone: (601) 942-7254
Approximate (ZIP-level) locationGet directions
Mailing address
1883 Highway 43 S
Canton, MS 39046-8405
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.