CLINTON COUNTY OUTPATIENT SURGERY, INC.; NPI #1831287580

Contact Information

CLINTON COUNTY OUTPATIENT SURGERY, INC.

1150 W LOCUST ST
SUITE 200
WILMINGTON, OH 45177-2572

Phone: 937-383-0088
Fax: 937-382-4654
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 CLINTON COUNTY OUTPATIENT SURGERY, INC.

NPI Number 1831287580

LBN Legal business name CLINTON COUNTY OUTPATIENT SURGERY, INC.

Authorized official PAMELA LEWIS - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/10/2006

Last updated 10/29/2012 - About 14 years ago

Identifiers

Medicaid

2052531

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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