SURGCENTER HUDSON, LLC; NPI #1700815552

Contact Information

SURGCENTER HUDSON, LLC

5700 DARROW RD
STE 109
HUDSON, OH 44236-5021

Phone: 330-208-2720
Fax: 330-208-2721
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 SURGCENTER HUDSON, LLC

NPI # 1700815552

LBN Legal business name SURGCENTER HUDSON, LLC

Authorized official WALID LABABIDI - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/02/2006

Last updated 02/25/2019 - About 7 years ago

Identifiers

OH	License #	0781AS
OH	Medicaid	2655201

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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