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SURGERY CENTER NPI 1821095910


NPI Information

NPI: 1821095910
Provider Name: SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D0665627

Address:
19250 BAGLEY RD
CLEVELAND, OH
ZIP 44130
Phone: (440) 826-3240
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SURGERY CENTER is an ambulatory surgical clinic center in Cleveland, OH. SURGERY CENTER NPI is 1821095910. The provider is registered as an organization entity type.

The provider's business location address is:

19250 BAGLEY RD
CLEVELAND, OH
ZIP 44130-314
Phone: (440) 826-3240
Fax: (440) 816-0273

The provider's authorized official is Barbara Draves .
The authorized official title is Administrator and has the following contact phone number (440) 826-3240.

The CLIA number assigned to this NPI record is 36D0665627 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 9/27/2010.


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
1261QA1903XClinic/CenterAmbulatory Surgical0041ASOHIOYes

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
1=========028OTHEROHIOCARESOURCE
2=========00OTHEROHIOWORKERS COMPENSATION
3000000157345OTHEROHIOANTHEM SENIOR ADVANTAGE
46800051OTHEROHIOUHC MEDICRE COMPLETE
51411062OTHEROHIOUNITED MINEWORKERS
6000000157345OTHEROHIOANTHEM
70584318MEDICAIDOHIO
83610041MEDICARE ID-TYPE UNSPECIFIEDOHIO
9=========018OTHEROHIOMEDICAL MUTUAL OF OHIO
106800051OTHEROHIOUNITED HEALTHCARE
1149000325MEDICARE ID-TYPE UNSPECIFIEDOHIORAILROAD MEDICARE

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: 11/14/2023

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