SIDNEY ASC LLC NPI 1063492437

NPI Information

NPI: 1063492437
Provider Name: SIDNEY ASC LLC

Doing Business As: VALLEY REGIONAL SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D0920394

Address:
283 LOONEY RD
PIQUA, OH
ZIP 45356
Phone: (937) 778-3848
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SIDNEY ASC LLC is an ambulatory surgical clinic center in Piqua, OH. SIDNEY ASC LLC NPI is 1063492437. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Regional Surgery Center.

The provider's business location address is:

283 LOONEY RD
PIQUA, OH
ZIP 45356-147
Phone: (937) 778-3848
Fax: (937) 778-3853

The provider's authorized official is Phillip A. Clendenin .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 36D0920394 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0321AS	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2004262	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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