# COMPASSIONATE CARE CENTER FOR SURGICAL EXCELLENCE

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

## Provider details

- **NPI number:** 1154664332
- **Authorized official:** DR. K STEVEN WILEY M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (304) 238-0212

## Contact information

- **Practice address:** 68 STATE ROUTE 7, BRIDGEPORT, OH 43912-1642
- **Practice address phone:** (304) 238-0212
- **Practice address fax:** (304) 238-0215
- **Mailing address:** 68 STATE ROUTE 7, BRIDGEPORT, OH 43912-1642
- **Mailing address phone:** (304) 238-0212
- **Mailing address fax:** (304) 238-0215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 201021401101 | OH | Yes |

## Other

- **Enumeration date:** 04/05/2013
- **Last updated:** 12/02/2013