Organization
NEWARK AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE EBERLY (COO)
(740) 788-6010
Entity
Organization
Contact information
Practice address
2000 TAMARACK RD, NEWARK, OH 43055-1183
(740) 788-6010
(740) 788-6002
Mailing address
2000 TAMARACK RD, NEWARK, OH 43055-1183
(740) 788-6010
(740) 788-6002
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0470AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097832
—
OH
Enumeration date
01/26/2006
Last updated
08/22/2020
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