WALNUT CREEK SURGICAL SUITES LLC NPI 1194489757

NPI Information

NPI: 1194489757
Provider Name: WALNUT CREEK SURGICAL SUITES, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D2243611

Address:
715 BUCKLES COURT NORTH
GAHANNA, OH
ZIP 43230
Phone: (614) 354-2462
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WALNUT CREEK SURGICAL SUITES, LLC is an ambulatory surgical clinic center in Gahanna, OH. WALNUT CREEK SURGICAL SUITES, LLC NPI is 1194489757. The provider is registered as an organization entity type.

The provider's business location address is:

715 BUCKLES COURT NORTH
GAHANNA, OH
ZIP 43230-883
Phone: (614) 354-2462

The provider's authorized official is David Crawford .
The authorized official title is Ceo and has the following contact phone number (614) 354-2462.

The CLIA number assigned to this NPI record is 36D2243611 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2021 and was last updated on 10/28/2021.

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			Yes

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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