Organization
E-ASC LLC
Active
Other names
Beacon Evendale Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY YUCKMAN (CEO)
(513) 354-7785
Entity
Organization
Contact information
Practice address
3155 GLENDALE MILFORD RD, CINCINNATI, OH 45241-3134
(513) 454-2222
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-7662
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011436
—
OH
01
—
1305AS
STATE LICENSE
OH
Enumeration date
05/24/2022
Last updated
04/08/2025
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