SURGERY CENTER OF CINCINNATI, LLC; NPI #1538122957

Contact Information

SURGERY CENTER OF CINCINNATI, LLC

4415 AICHOLTZ RD
CINCINNATI, OH 45245-1506

Phone: 513-947-1130
Fax: 513-947-8541
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 SURGERY CENTER OF CINCINNATI, LLC

NPI # 1538122957

LBN Legal business name SURGERY CENTER OF CINCINNATI, LLC

Authorized official VIRGIL CANTRELL - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/07/2006

Last updated 04/12/2011 - About 15 years ago

Identifiers

OH	License #	0587AS
IN	Medicaid	200292830A
KY	Medicaid	36000123
OH	Medicaid	2185102
KY	Other	375674700	KENTUCKY WORKERS COMP
OH	Other	000000156597	ANTHEM PROVIDER ID
OH	Other	61101	HUMANA PROVIDER ID

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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