Organization
SOUTHWEST OHIO AMBULATORY SURGERY CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF W. NICOLAI (DIRECTOR OPERATIONS)
(513) 425-7327
Entity
Organization
Contact information
Practice address
295 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 425-0930
(513) 425-0960
Mailing address
295 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 425-7327
(513) 425-0960
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451270A
—
IN
05
—
2046057
—
OH
05
—
36001352
—
KY
Enumeration date
07/08/2005
Last updated
07/29/2011
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