CRYSTAL CLINIC SURGERY CENTER INC. NPI 1104818038

NPI Information

NPI: 1104818038
Provider Name: CRYSTAL CLINIC SURGERY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3975 EMBASSY PKWY
SUITE 202
AKRON, OH
ZIP 44333
Phone: (330) 668-4085
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CRYSTAL CLINIC SURGERY CENTER, INC. is an ambulatory surgical clinic center in Akron, OH. CRYSTAL CLINIC SURGERY CENTER, INC. NPI is 1104818038. The provider is registered as an organization entity type.

The provider's business location address is:

3975 EMBASSY PKWY
SUITE 202
AKRON, OH
ZIP 44333-320
Phone: (330) 668-4085
Fax: (330) 668-2624

The provider's authorized official is Joanne Stone .
The authorized official title is Administrator and has the following contact phone number (330) 668-4085.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 4/20/2008.

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	0102AS-153	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	100773	OTHER	OHIO	KAISER PROVIDER NO.
2	68-00067	OTHER	OHIO	UNITED HEALTHCARE PROV NO
3	=========004	OTHER	OHIO	MEDICAL MUTUAL PROVIDER N
4	157362	OTHER	OHIO	ANTHEM PROVIDER NO.
5	3610301	MEDICARE PIN	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

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