Ashtabula Surgery Center LLC

NPI #1801163811 in Ashtabula, Ohio

Provider Information

NPI Number
1801163811
Entity Type
Organization
Organization Name
Ashtabula Surgery Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ASHTABULA SURGERY CENTER LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Nov 18, 2011
Last Updated
Nov 18, 2011

Practice Location

Address
2893 N RIDGE E
State
Ohio
ZIP Code
44004-4134
Phone
(440) 998-0000

Authorized Official

Name
JODY BOHLKE
Title
CREDENTIALING SPECIALIST
Phone
(605) 444-8279

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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