National Provider Identifier Database

MARIETTA SURGERY CENTER
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

MARIETTA SURGERY CENTER
611 SECOND STREET
MARIETTA, OH45750
Phone: 740-374-8596
Fax: 740-374-9087
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for MARIETTA SURGERY CENTER

NPI Number 1780649269
Legal business name
LBN
MARIETTA SURGERY CENTER
Authorized official SHIRLEY THOMAS - (RN ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 1081684
  • OH Medicaid: 2192630
  • WV Medicaid: 1802153000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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