PHYSICIANS OUTPATIENT SURGERY CENTER LLC NPI 1285664300

NPI Information

NPI: 1285664300
Provider Name: PHYSICIANS OUTPATIENT SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D0965759

Address:
1933 WASHINGTON BLVD
BELPRE, OH
ZIP 45714
Phone: (740) 423-7557
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PHYSICIANS OUTPATIENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Belpre, OH. PHYSICIANS OUTPATIENT SURGERY CENTER, LLC NPI is 1285664300. The provider is registered as an organization entity type.

The provider's business location address is:

1933 WASHINGTON BLVD
BELPRE, OH
ZIP 45714-041
Phone: (740) 423-7557
Fax: (740) 423-7559

The provider's authorized official is David Spencer George .
The authorized official title is Partner/medical Director and has the following contact phone number (304) 428-3500.

The CLIA number assigned to this NPI record is 36D0965759 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 5/13/2013.

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

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	=========006	OTHER		MEDICAL MUTUAL OF OHIO
2	ASC49113	OTHER		THE HEALTH PLAN
3	490004533	OTHER		RAILROAD MEDICARE
4	3611331	MEDICARE ID-TYPE UNSPECIFIED	OHIO
5	2258471	MEDICAID	OHIO
6	119897	OTHER		CARELINK
7	6904001000	MEDICAID	WEST VIRGINIA
8	=========	OTHER		TRICARE FOR LIFE
9	000328563	OTHER		MOUNTAIN STATE BLUE CROSS
10	000000190429	OTHER		ANTHEM BLUE CROSS

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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