Beavercreek Surgery Center

LBN: Southwest Surgical Partners Llc
Beavercreek Surgery Center is an health care organization with primary practice located at 3559 Kemp Rd Suite 120, Beavercreek OH 45431-2533. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Southwest Surgical Partners Llc can be contacted via phone (937) 458-4100, or through Gault, Larry via phone (937) 458-4201.

Contact Information

Primary practice address
3559 Kemp Rd Suite 120 Beavercreek OH 45431-2533
Phone: (937) 458-4100
Fax: (937) 458-4119
Website:
Map and Directions
Authorized official contact:
Name: Gault, Larry
Phone: (937) 458-4201

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0558AS Ohio

Profile Details

NPI number 1336128479
LBN Legal business name Southwest Surgical Partners Llc
DBA Doing business as Beavercreek Surgery Center
Authorized official Gault, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1336128479 NPPES
Ohio MEDICAID 2139948

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