Organization Name: | WEST CENTRAL SURGICAL CENTER-BAYSIDE |
NPI Number: | 1104214261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM G JAMES (AUTHORIZED OFFICAL) |
Mailing Address: | 846 S Coy Rd Oregon |
State: | OH US |
Postal Code: | 436163452 |
Phone Number: | 4196939459 |
Fax Number: | 4196939429 |
NPI Enumeration Date: | 12/24/2014 |
NPI Last Update Date: | 12/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 1086AS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |