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Contact Information

SURGERY CENTER OF SOUTHWEST OHIO, LLC
2210 ARBOR BLVD STE 1A
MORAINE, OH45439-1522
 Phone: 615-397-9187
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for SURGERY CENTER OF SOUTHWEST OHIO, LLC

NPI # 1568094399
LBN Legal business name SURGERY CENTER OF SOUTHWEST OHIO, LLC
Authorized official WILLIAM GAVIGAN - (MEMBER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2020
Last updated 08/11/2021 - About 5 years ago
Identifiers n/a
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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