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Organization

MANGAT MEDICAL LLC

Active
Other names
The Surgery Center LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NELSON BRIGHT RUE III RN, MBA, CHE, CASC (EXECUTIVE DIRECTOR)
(859) 426-1616
Entity
Organization

Contact information

Practice address
133 BARNWOOD DR, EDGEWOOD, KY 41017-2500
(859) 426-1616
(859) 578-3321
Mailing address
133 BARNWOOD DR, EDGEWOOD, KY 41017-2500
(859) 426-1616
(859) 578-3321

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300163
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300163
ASC LICENSE
KY
01
69897
AAAHC
Enumeration date
01/08/2007
Last updated
10/17/2007
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