IDOX3 LLC NPI 1417333295

NPI Information

NPI: 1417333295
Provider Name: IDOX3 LLC

Doing Business As: TRI-STATE SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
405 S 3RD ST
IRONTON, OH
ZIP 45638
Phone: (606) 324-2451
Get Directions

IDOX3 LLC is an ambulatory surgical clinic center in Ironton, OH. IDOX3 LLC NPI is 1417333295. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri-state Surgery Center.

The provider's business location address is:

405 S 3RD ST
IRONTON, OH
ZIP 45638-730
Phone: (606) 324-2451
Fax: (606) 324-7123

The provider's authorized official is Jennifer L Strohmeyer .
The authorized official title is Supervisor and has the following contact phone number (606) 324-2451.

The CLIA number assigned to this NPI record is 36D2104486 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 7/23/2020.

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	0190768	MEDICAID	OHIO
2	7100446470	MEDICAID	KENTUCKY

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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