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NPI Code Detail

MEDICARE: CENTRAL OHIO SURGICAL INSTITUTE, LLC

MEDICARE: CENTRAL OHIO SURGICAL INSTITUTE, LLC
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/Center0733ASOH

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 : 1689674285
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL OHIO SURGICAL INSTITUTE, LLC
Provider Business Mailing Address
First Line : 6520 W CAMPUS OVAL
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-8726
Country : US
Telephone Number : 614-413-2233
Fax Number : 614-413-2234
Provider Business Practice Location Address
First Line : 6520 W CAMPUS OVAL
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-8726
Country : US
Telephone Number : 614-413-2233
Fax Number : 614-413-2234
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. MARCY DELVECCHIO
Credential :
Telephone Number : 614-413-2233
Provider Enumeration Date : 07/26/2005
Last Update Date : 02/11/2020

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Directions to “CENTRAL OHIO SURGICAL INSTITUTE, LLC ” Practice Location

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