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Organization

KAISER FOUNDATION HEALTH PLAN OF OHIO

Active
Other names
Parma Ambulatory Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG FAERBER (VP CFO)
(216) 479-5136
Entity
Organization

Contact information

Practice address
12301 SNOW ROAD, PARMA, OH 44130
(216) 265-8810
(216) 265-8890
Mailing address
12301 SNOW ROAD, PARMA, OH 44130
(216) 265-8810
(216) 265-8890

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0211372
OH
Enumeration date
11/27/2006
Last updated
10/31/2012
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