Organization
THREE GABLES SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA ANN COX (OFFICE MANAGER)
(740) 886-9911
Entity
Organization
Contact information
Practice address
5897 STATE ROUTE 7, PROCTORVILLE, OH 45669-8852
(740) 886-9911
(740) 886-9922
Mailing address
PO BOX 490, PROCTORVILLE, OH 45669-0490
(740) 886-9911
(740) 886-9922
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500388
—
KY
05
—
2338447
—
OH
05
—
6905009000
—
WV
Enumeration date
04/18/2006
Last updated
01/20/2021
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