Organization
EASTGATE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
4415 AICHOLTZ RD # A, CINCINNATI, OH 45245-1506
(513) 952-5000
Mailing address
4415 AICHOLTZ RD # A, CINCINNATI, OH 45245-1506
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
01/12/2026
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