Organization
TUSCARAWAS AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
(216) 636-7416
Entity
Organization
Contact information
Practice address
320 OXFORD ST, DOVER, OH 44622-1963
(330) 365-2101
Mailing address
320 OXFORD ST, DOVER, OH 44622-1963
(330) 365-2101
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0560AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171813
—
OH
Enumeration date
07/28/2005
Last updated
02/23/2022
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