Organization
SAMARITAN NORTH SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P KELLY (ADMINISTRATOR)
(937) 567-5984
Entity
Organization
Contact information
Practice address
9000 N MAIN ST, DAYTON, OH 45415-1180
(937) 567-5900
(937) 567-5959
Mailing address
9000 N MAIN ST, DAYTON, OH 45415-1180
(937) 567-5900
(937) 567-5959
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0568AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2217710
—
OH
Enumeration date
10/11/2005
Last updated
06/11/2009
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