Organization
SURGICENTER OF MANSFIELD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA S. EFAW (BUSINESS MANAGER)
(419) 774-9410
Entity
Organization
Contact information
Practice address
1030 CRICKET LN, MANSFIELD, OH 44906-4104
(419) 774-9410
(419) 774-1072
Mailing address
1030 CRICKET LN, MANSFIELD, OH 44906-4104
(419) 774-9410
(419) 774-1072
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0469AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090697
—
OH
Enumeration date
10/25/2005
Last updated
08/22/2020
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