# KAISER FOUNDATION HEALTH PLAN OF OHIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parma Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679649354
- **Authorized official:** CRAIG FAERBER (VP CFO)
- **Authorized official phone:** (216) 479-5136

## Contact information

- **Practice address:** 12301 SNOW ROAD, PARMA, OH 44130
- **Practice address phone:** (216) 265-8810
- **Practice address fax:** (216) 265-8890
- **Mailing address:** 12301 SNOW ROAD, PARMA, OH 44130
- **Mailing address phone:** (216) 265-8810
- **Mailing address fax:** (216) 265-8890

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 10/31/2012