# SAMARITAN NORTH SURGERY CENTER LTD

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

## Provider details

- **NPI number:** 1760470942
- **Authorized official:** MR. DAVID P KELLY (ADMINISTRATOR)
- **Authorized official phone:** (937) 567-5984

## Contact information

- **Practice address:** 9000 N MAIN ST, DAYTON, OH 45415-1180
- **Practice address phone:** (937) 567-5900
- **Practice address fax:** (937) 567-5959
- **Mailing address:** 9000 N MAIN ST, DAYTON, OH 45415-1180
- **Mailing address phone:** (937) 567-5900
- **Mailing address fax:** (937) 567-5959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0568AS | OH | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 06/11/2009
