GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC; NPI #1073828315

Contact Information

GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC

3025 GOVERNORS PLACE BLVD
DAYTON, OH 45409-1330

Phone: 937-293-5567
Fax: 937-293-5568
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC

NPI # 1073828315

LBN Legal business name GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC

Authorized official HEIDI DONNELLY - (OWNER/PRESIDENT CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2010

Last updated 08/11/2010 - About 16 years ago

Identifiers

License #

1936460

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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GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC

Reviews for GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC