Organization
NORTHERN OHIO SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL GUERRA (ADMINISTRATOR)
(419) 627-8557
Entity
Organization
Contact information
Practice address
2800 HAYES AVE, SANDUSKY, OH 44870-7248
(419) 627-8557
(419) 627-8559
Mailing address
2800 HAYES AVE, SANDUSKY, OH 44870-7248
(419) 627-8557
(419) 627-8559
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0628AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227672
ANTHEM
OH
05
—
2215757
—
OH
Enumeration date
09/21/2005
Last updated
08/22/2020
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