Organization Name: | NEW ALBANY SURGERY CENTER, LLC |
NPI Number: | 1003103474 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK E GITTINS (MEDICAL DIRECTOR) |
Mailing Address: | 5040 Forest Dr New Albany |
State: | OH US |
Postal Code: | 430548181 |
Phone Number: | 6145464300 |
Fax Number: | 6145464086 |
NPI Enumeration Date: | 07/06/2011 |
NPI Last Update Date: | 06/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |