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Organization

SOUTHWEST GENERAL HEALTH CENTER

Active
Parent organization
SOUTHWEST GENERAL HEALTH CENTER
Other names
Big Creek Surgery Center of Southwest General
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHWEST GENERAL HEALTH CENTER
Authorized official
WILLIAM YOUNG JR. (PRESIDENT/CEO)
(440) 816-6701
Entity
Organization

Contact information

Practice address
15345 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-4825
(440) 743-8400
(440) 743-8401
Mailing address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8000

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0782AS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000076347
ANTHEM
OH
01
0065710
AETNA
OH
01
5000079
UNITED HEALTHCARE
OH
05
8295509
OH
Enumeration date
02/02/2017
Last updated
03/14/2025
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