E-ASC LLC NPI 1346988870

NPI Information

NPI: 1346988870
Provider Name: E-ASC LLC

Doing Business As: BEACON EVENDALE SURGICAL CENTER

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

Specialization: Ambulatory Surgical

Address:
3155 GLENDALE MILFORD RD
CINCINNATI, OH
ZIP 45241
Phone: (513) 454-2222
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E-ASC LLC is an ambulatory surgical clinic center in Cincinnati, OH. E-ASC LLC NPI is 1346988870. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Evendale Surgical Center.

The provider's business location address is:

3155 GLENDALE MILFORD RD
CINCINNATI, OH
ZIP 45241-134
Phone: (513) 454-2222

The provider's authorized official is Timothy Ruesch .
The authorized official title is Sr Mgr Of Contracting And Credent and has the following contact phone number (513) 354-3700.

The CLIA number assigned to this NPI record is 36D2240753 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 4/12/2024.

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	0011436	MEDICAID	OHIO
2	1305AS	OTHER	OHIO	STATE LICENSE

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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