# CLINTON COUNTY OUTPATIENT SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003323353
- **Authorized official:** STEPHEN L PAGE (VICE-PRESIDENT)
- **Authorized official phone:** (615) 844-9800

## Contact information

- **Practice address:** 1150 W LOCUST ST STE 200, WILMINGTON, OH 45177-2063
- **Practice address phone:** (937) 383-0088
- **Mailing address:** 103 CONTINENTAL PL STE 200, BRENTWOOD, TN 37027-1042
- **Mailing address phone:** (615) 844-9800
- **Mailing address fax:** (615) 844-9883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 01/09/2018