| Organization Name: | PICKAWAY SURGICAL CENTER LTD |
| NPI Number: | 1255323879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACY MALONEY (ADMINISTRATOR) |
| Mailing Address: | 1235 S Court St Circleville |
| State: | OH US |
| Postal Code: | 431132108 |
| Phone Number: | 7404209440 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 0608AS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |