Organization
STARK AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
4360 FULTON DR NW, SUITE C, CANTON, OH 44718-2878
(330) 305-2020
(330) 305-2020
Mailing address
4360 FULTON DR NW, SUITE C, CANTON, OH 44718-2878
(330) 305-2020
(330) 305-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0750AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2533299
—
OH
Enumeration date
01/23/2006
Last updated
09/17/2024
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