Healthcare Provider Details

I. General information

NPI: 1780697664
Provider Name (Legal Business Name): UHHS ZEEBA SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29017 CEDAR RD
LYNDHURST OH
44124-4073
US

IV. Provider business mailing address

PO BOX 73803
CLEVELAND OH
44193-0002
US

V. Phone/Fax

Practice location:
  • Phone: 216-383-0100
  • Fax: 216-383-6481
Mailing address:
  • Phone: 216-383-6480
  • Fax: 216-383-6745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE RIDDLE
Title or Position: BILLING SERVICES UPCP
Credential: DIRECTOR
Phone: 216-383-6480