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Contact Information

CHAGRIN VALLEY ANESTHESIA, LLC
3755 ORANGE PL STE 102
BEACHWOOD, OH44122-4455
 Phone: 216-765-0358
 Fax: 216-765-0378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CHAGRIN VALLEY ANESTHESIA, LLC

NPI Number 1528002490
LBN Legal business name CHAGRIN VALLEY ANESTHESIA, LLC
Authorized official JOHN FITZGERALD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 09/19/2019 - About 7 years ago
Identifiers
OH Medicaid 2529660
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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