# PREMIUM SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Premium Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588633184
- **Authorized official:** MS. ROSE M BEE (TITLE ADMIN)
- **Authorized official phone:** (440) 937-5851

## Contact information

- **Practice address:** 5319 HOAG DR, ELYRIA, OH 44035
- **Practice address phone:** (440) 930-6042
- **Practice address fax:** (440) 930-6105
- **Mailing address:** 5319 HOAG DR, ELYRIA, OH 44035
- **Mailing address phone:** (440) 930-6042
- **Mailing address fax:** (440) 930-6105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0572AS | OH | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 04/18/2019