Organization
SIDNEY ASC LLC
Active
Other names
Valley Regional Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
283 LOONEY RD, PIQUA, OH 45356-4147
(937) 778-3848
(937) 778-3853
Mailing address
283 LOONEY RD, PIQUA, OH 45356-4147
(937) 778-3848
(937) 778-3853
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0321AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004262
—
OH
Enumeration date
01/20/2006
Last updated
09/07/2023
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