Organization
FAR HILLS SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GALVIN (ADMINISTRATOR)
(937) 294-9840
Entity
Organization
Contact information
Practice address
3484 FAR HILLS AVE, KETTERING, OH 45429-2518
(937) 294-9840
(937) 294-9843
Mailing address
6601 CENTERVILLE BUSINESS PARKWAY, SUITE 301, CENTERVILLE, OH 45429
(937) 294-9840
(937) 294-9843
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0444AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2063681
—
OH
Enumeration date
01/10/2007
Last updated
08/22/2020
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