MERCY ANDERSON AMBULATORY SURGERY CENTER NPI 1700870623

NPI Information

NPI: 1700870623
Provider Name: MERCY ANDERSON AMBULATORY SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D2057539

Address:
7520 STATE RD
CINCINNATI, OH
ZIP 45255
Phone: (513) 624-1950
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MERCY ANDERSON AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Cincinnati, OH. MERCY ANDERSON AMBULATORY SURGERY CENTER NPI is 1700870623. The provider is registered as an organization entity type.

The provider's business location address is:

7520 STATE RD
CINCINNATI, OH
ZIP 45255-439
Phone: (513) 624-1950
Fax: (513) 624-1952

The provider's authorized official is Lori A Mondary .
The authorized official title is Administrator and has the following contact phone number (513) 624-1950.

The CLIA number assigned to this NPI record is 36D2057539 - other - cardiac rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2005 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0499AS	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	2114125	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: 4/28/2024

NPI Synchronization or Removal

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