| Organization Name: | THREE GABLES SURGERY CENTER LLC |
| NPI Number: | 1124083878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN STONE (ADMINISTRATOR) |
| Mailing Address: | 5897 State Route 7 Proctorville |
| State: | OH US |
| Postal Code: | 456698852 |
| Phone Number: | 7408869911 |
| Fax Number: | 7408869922 |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 284300000X |
| License Number: | 1153695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Special Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |