Organization
PICKAWAY SURGICAL CENTER LTD
Active
Other names
Physicians Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY MALONEY (ADMINISTRATOR)
(740) 420-9440
Entity
Organization
Contact information
Practice address
1235 S COURT ST, CIRCLEVILLE, OH 43113-2108
(740) 420-9440
Mailing address
1235 S COURT ST, CIRCLEVILLE, OH 43113-2108
(740) 420-9440
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
0608AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342370
—
OH
Enumeration date
08/19/2005
Last updated
01/22/2015
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