| Organization Name: | MARYSVILLE OHIO SURGICAL CENTER |
| NPI Number: | 1033173711 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JO ELLEN BRADEN (ADMINISTRATOR) |
| Mailing Address: | 122 Proffessional Pkwy Marysville |
| State: | OH US |
| Postal Code: | 430408053 |
| Phone Number: | 9376426622 |
| Fax Number: | 9376426635 |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 03/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 0751AS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |