Provider Type Icon

SURGERY ALLIANCE LTD NPI 1558345033


NPI Information

NPI: 1558345033
Provider Name: SURGERY ALLIANCE LTD
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 36D0917939

Address:
975 SAWBURG AVE
ALLIANCE, OH
ZIP 44601
Phone: (330) 821-7997
Get Directions

SURGERY ALLIANCE LTD is a clinic center in Alliance, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SURGERY ALLIANCE LTD NPI is 1558345033. The provider is registered as an organization entity type.

The provider's business location address is:

975 SAWBURG AVE
ALLIANCE, OH
ZIP 44601-515
Phone: (330) 821-7997
Fax: (330) 821-7295

The provider's authorized official is Hazel Thomas .
The authorized official title is Administrator and has the following contact phone number (330) 821-7997.

The CLIA number assigned to this NPI record is 36D0917939 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center0030ASOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10177393MEDICAIDOHIO

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

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.