LINCOLN PARK SURGERY CENTER NPI 1912989526

NPI Information

LINCOLN PARK SURGERY CENTER is an ambulatory surgical clinic center in Kettering, OH. LINCOLN PARK SURGERY CENTER NPI is 1912989526. The provider is registered as an organization entity type.

The provider's business location address is:

500 LINCOLN PARK BLVD
SUITE 100
KETTERING, OH
ZIP 45429-492
Phone: (937) 424-5560
Fax: (937) 424-5876

The provider's authorized official is Jonathan Paley .
The authorized official title is Partner and has the following contact phone number (937) 424-5560.

The CLIA number assigned to this NPI record is 36D0349893 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2005 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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