Organization
OHIO CARE AMBULATORY SURGERY CENTER
Active
Other names
Surgi & Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY COAKLEY ANDRY RT R CASC (BUSINESS MGR)
(419) 897-5501
Entity
Organization
Contact information
Practice address
5959 MONCLOVA RD, MAUMEE, OH 43537
(419) 897-5501
(419) 897-5502
Mailing address
5959 MONCLOVA RD, MAUMEE, OH 43537
(419) 897-5501
(419) 897-5502
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0533AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2127442
—
OH
Enumeration date
03/27/2006
Last updated
08/22/2020
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