# CRYSTAL CLINIC SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1104818038
- **Authorized official:** JOANNE STONE RN,BSN (ADMINISTRATOR)
- **Authorized official phone:** (330) 668-4085

## Contact information

- **Practice address:** 3975 EMBASSY PKWY, SUITE 202, AKRON, OH 44333-8320
- **Practice address phone:** (330) 668-4085
- **Practice address fax:** (330) 668-2624
- **Mailing address:** 3975 EMBASSY PKWY, SUITE 202, AKRON, OH 44333-8320
- **Mailing address phone:** (330) 668-4085
- **Mailing address fax:** (330) 668-2624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0102AS-153 | OH | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 04/20/2008