Premium Surgery Center Llc in Elyria - Ambulatory Surgical
Premium Surgery Center Llc - NPI 1588633184
Premium Surgery Center Llc is a Ambulatory Surgical in Elyria, Ohio. Premium Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Premium Surgery Center Llc is 1588633184. The last update date is 2019-04-18.
Premium Surgery Center Llc's current location address is 5319 Hoag Dr, Elyria, Ohio. You can contact this provider via phone number 4409306042 and fax number 4409306105. The mailing address for Premium Surgery Center Llc is 5319 Hoag Dr, Elyria, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premium Surgery Center Llc |
|---|---|
| Address | 5319 Hoag Dr, Elyria, Ohio |
| Phone Number | 4409306042 |
| Fax Number | 4409306105 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TITLE ADMI |
|---|---|
| Authorized Official Name | Bee M Rose |
| Telephone Number | 4409375851 |
NPI Number Detail
| NPI Number | 1588633184 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2019-04-18 |
Provider Mailing Address Detail
| Address | 5319 Hoag Dr |
|---|---|
| City | Elyria |
| State | Ohio (OH) |
| Post Code | 44035 |
| Phone Number | 4409306042 |
| Fax Number | 4409306105 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 0572AS |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 338767 | BLUE CROSS BLUE SHIELD | ||
| 2213107 | OH | -- | |
| P00124229 | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Premium Surgery Center Llc?
The Premium Surgery Center Llc has been issued the NPI (National Provider Identifier) 1588633184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Premium Surgery Center Llc is located?
The Premium Surgery Center Llc is situated at the following address: 5319 Hoag Dr, Elyria, OH, 44035.
What is Premium Surgery Center Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Premium Surgery Center Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date did Premium Surgery Center Llc receive its 1588633184 assignment from the Centers for Medicare & Medicaid Services?
The Premium Surgery Center Llc was assigned its 1588633184 on 2006-03-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Premium Surgery Center Llc most recently updated or revised?
The information pertaining to Premium Surgery Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-18.