WILLOUGHBY SURGERY CENTER, LLC; NPI #1255503553

Contact Information

WILLOUGHBY SURGERY CENTER, LLC

6025 COMMERCE CIR
SUITE 1
WILLOUGHBY, OH 44094-9668

Phone: 440-585-2750
Fax: 440-944-0868
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 WILLOUGHBY SURGERY CENTER, LLC

NPI # 1255503553

LBN Legal business name WILLOUGHBY SURGERY CENTER, LLC

Authorized official DAVID DEMANGONE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/26/2008

Last updated 02/20/2013 - About 13 years ago

Identifiers

OH	Medicaid	3137920
OH	Other	P00829745	RAILROAD MEDICARE

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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