LINCOLN PARK SURGERY CENTER
Surgery Yellow Pages
Kettering, Ohio
Provider NPI: 1912989526
Organization Information:Organization Name: LINCOLN PARK SURGERY CENTER
Practice Location:
500 LINCOLN PARK BLVD SUITE 100 KETTERING, OH 45429 US
Tel: 937-424-5560 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
500 LINCOLN PARK BLVD SUITE 100 KETTERING, OH 45429 US
Tel: 937-424-5560 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | OH | 0730AS |
X | 261QR0200X | Ambulatory Health Care Facilities Clinic/Center | OH | 1073-1C |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2483638 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin