# ASHTABULA SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASHTABULA SURGERY CENTER LLC
- **Other names:** Ashtabula Anesthesia
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801163811
- **Legal business name:** ASHTABULA SURGERY CENTER LLC
- **Authorized official:** JODY BOHLKE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (605) 444-8279

## Contact information

- **Practice address:** 2893 N RIDGE E, ASHTABULA, OH 44004-4134
- **Practice address phone:** (440) 998-0000
- **Mailing address:** 2893 N RIDGE E, ASHTABULA, OH 44004-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0774AS | OH | Yes |

## Other

- **Enumeration date:** 11/18/2011
- **Last updated:** 11/18/2011