Organization
CLINTON COUNTY OUTPATIENT SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA B LEWIS R.N. (ADMINISTRATOR)
(513) 605-4800
Entity
Organization
Contact information
Practice address
1150 W LOCUST ST, SUITE 200, WILMINGTON, OH 45177-2572
(937) 383-0088
(937) 382-4654
Mailing address
PO BOX 712590, CINCINNATI, OH 45271-0001
(513) 605-4800
(513) 605-4805
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052531
—
OH
Enumeration date
10/10/2006
Last updated
10/29/2012
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