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NPI Code Detail

MEDICARE: MERCY ANDERSON AMBULATORY SURGERY CENTER

MEDICARE: MERCY ANDERSON AMBULATORY SURGERY CENTER
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/Center0499ASOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700870623
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY ANDERSON AMBULATORY SURGERY CENTER
Provider Business Mailing Address
First Line : 7520 STATE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-2439
Country : US
Telephone Number : 513-624-1950
Fax Number : 513-624-1952
Provider Business Practice Location Address
First Line : 7520 STATE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-2439
Country : US
Telephone Number : 513-624-1950
Fax Number : 513-624-1952
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. LORI A MONDARY
Credential :
Telephone Number : 513-624-1950
Provider Enumeration Date : 09/07/2005
Last Update Date : 08/22/2020

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Directions to “MERCY ANDERSON AMBULATORY SURGERY CENTER ” Practice Location

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