Mercy Premium Surgery Center

LBN: Premium Surgery Center Llc
Mercy Premium Surgery Center is an health care organization with primary practice located at 5319 Hoag Dr , Elyria OH 44035. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Premium Surgery Center Llc can be contacted via phone (440) 930-6042, or through Bee, Rose M via phone (440) 937-5851.

Contact Information

Primary practice address
5319 Hoag Dr Elyria OH 44035
Phone: (440) 930-6042
Fax: (440) 930-6105
Website:
Map and Directions
Authorized official contact:
Name: Bee, Rose M
Phone: (440) 937-5851

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0572AS Ohio

Profile Details

NPI number 1588633184
LBN Legal business name Premium Surgery Center Llc
DBA Doing business as Mercy Premium Surgery Center
Authorized official Bee, Rose M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 18th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588633184 NPPES
Other 000000338767 BLUE CROSS BLUE SHIELD
MEDICAID 2213107 BLUE CROSS BLUE SHIELD
Other P00124229 BLUE CROSS BLUE SHIELD

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