Organization
ASHTABULA SURGERY CENTER LLC
Active
Parent organization
ASHTABULA SURGERY CENTER LLC
Other names
Ashtabula Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHTABULA SURGERY CENTER LLC
Authorized official
JODY BOHLKE (CREDENTIALING SPECIALIST)
(605) 444-8279
Entity
Organization
Contact information
Practice address
2893 N RIDGE E, ASHTABULA, OH 44004-4134
(440) 998-0000
Mailing address
2893 N RIDGE E, ASHTABULA, OH 44004-4134
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0774AS
OH
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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