Organization
MERCY AMBULATORY SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WOOD (DIRECTOR)
(828) 236-3027
Entity
Organization
Contact information
Practice address
2990 MACK RD, FAIRFIELD, OH 45014-5383
(513) 874-6440
Mailing address
2990 MACK RD, FAIRFIELD, OH 45014-5383
(513) 874-6440
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0573928
—
OH
Enumeration date
04/21/2006
Last updated
08/31/2007
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