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Contact Information

SURGERY CENTER
19250 BAGLEY RD
CLEVELAND, OH44130-3314
 Phone: 440-826-3240
 Fax: 440-816-0273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for SURGERY CENTER

NPI Number 1821095910
LBN Legal business name SURGERY CENTER
Authorized official BARBARA DRAVES - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2005
Last updated 09/27/2010 - About 16 years ago
Identifiers
OH License # 0041AS
OH Medicaid 0584318
OH Other 000000157345 ANTHEM
OH Other 000000157345 ANTHEM SENIOR ADVANTAGE
OH Other 6800051 UHC MEDICRE COMPLETE
OH Other 6800051 UNITED HEALTHCARE
OH Other 1411062 UNITED MINEWORKERS
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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