SOUTHWEST SURGICAL PARTNERS LLC; NPI #1336128479

Contact Information

SOUTHWEST SURGICAL PARTNERS LLC

3559 KEMP RD
SUITE 120
BEAVERCREEK, OH 45431-2533

Phone: 937-458-4100
Fax: 937-458-4119
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 SOUTHWEST SURGICAL PARTNERS LLC

NPI Number 1336128479

LBN Legal business name SOUTHWEST SURGICAL PARTNERS LLC

Authorized official LARRY GAULT - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/16/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

OH	License #	0558AS
OH	Medicaid	2139948

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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SOUTHWEST SURGICAL PARTNERS LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for SOUTHWEST SURGICAL PARTNERS LLC

Reviews for SOUTHWEST SURGICAL PARTNERS LLC