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NPI Code Detail

MEDICARE: UPPER ARLINGTON SURGERY CENTER, LTD.

MEDICARE: UPPER ARLINGTON SURGERY CENTER, LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center171OH

General Provider Information

NPI Number : 1477558641
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPER ARLINGTON SURGERY CENTER, LTD.
Provider Business Mailing Address
First Line : 2240 N BANK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-5420
Country : US
Telephone Number : 614-566-5080
Fax Number : 614-457-1887
Provider Business Practice Location Address
First Line : 2240 N BANK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-5420
Country : US
Telephone Number : 614-566-5080
Fax Number : 614-457-1887
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. MARYANN COONEY
Credential : RN
Telephone Number : 614-566-5080
Provider Enumeration Date : 06/15/2005
Last Update Date : 04/09/2008

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Directions to “UPPER ARLINGTON SURGERY CENTER, LTD. ” Practice Location

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