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Organization
MANGAT MEDICAL LLC
Active
Organization
MANGAT MEDICAL LLC
Active
Other names
The Surgery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON BRIGHT RUE III RN, MBA, CHE, CASC (EXECUTIVE DIRECTOR)
(859) 426-1616
Entity
Organization
Contact information
Practice address
133 BARNWOOD DR, EDGEWOOD, KY 41017-2500
(859) 426-1616
(859) 578-3321
Mailing address
133 BARNWOOD DR, EDGEWOOD, KY 41017-2500
(859) 426-1616
(859) 578-3321
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300163
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300163
ASC LICENSE
KY
01
—
69897
AAAHC
—
Enumeration date
01/08/2007
Last updated
10/17/2007
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