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Organization

HILLTOP AMBULATORY SURGERY CENTER LLC

Active
Other names
Legacy Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY A. GREEN M.D. (MEDICAL DIRECTOR)
(440) 449-8880
Entity
Organization

Contact information

Practice address
5035 MAYFIELD RD, SUIITE # 100, LYNDHURST, OH 44124-2688
(216) 923-0666
(216) 432-1136
Mailing address
5035 MAYFIELD RD, SUITE # 100, LYNDHURST, OH 44124-2688
(216) 923-0666
(216) 432-1136

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0965AS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062559
OH
Enumeration date
02/12/2010
Last updated
05/17/2017
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