HILLTOP AMBULATORY SURGERY CENTER LLC NPI 1396077582

NPI Information

NPI: 1396077582
Provider Name: HILLTOP AMBULATORY SURGERY CENTER LLC

Doing Business As: LEGACY SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
5035 MAYFIELD RD
SUIITE # 100
LYNDHURST, OH
ZIP 44124
Phone: (216) 923-0666
Get Directions

HILLTOP AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Lyndhurst, OH. HILLTOP AMBULATORY SURGERY CENTER LLC NPI is 1396077582. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy Surgery Center.

The provider's business location address is:

5035 MAYFIELD RD
SUIITE # 100
LYNDHURST, OH
ZIP 44124-688
Phone: (216) 923-0666
Fax: (216) 432-1136

The provider's authorized official is Rodney A. Green .
The authorized official title is Medical Director and has the following contact phone number (440) 449-8880.

The CLIA number assigned to this NPI record is 36D1104951 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2010 and was last updated on 5/17/2017.

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	0965AS	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	0062559	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »