Stark Ambulatory Surgery Center, Llc

LBN: Stark Ambulatory Surgery Center, Llc
Stark Ambulatory Surgery Center, Llc is an health care organization with primary practice located at 4360 Fulton Dr Nw Suite C, Canton OH 44718-2878. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Stark Ambulatory Surgery Center, Llc can be contacted via phone (330) 305-2020, or through Hartshorn, Christopher via phone (314) 800-2017.

Contact Information

Primary practice address
4360 Fulton Dr Nw Suite C Canton OH 44718-2878
Phone: (330) 305-2020
Fax: (330) 305-2020
Website:
Map and Directions
Authorized official contact:
Name: Hartshorn, Christopher
Phone: (314) 800-2017

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0750AS Ohio

Profile Details

NPI number 1740260926
LBN Legal business name Stark Ambulatory Surgery Center, Llc
DBA Doing business as
Authorized official Hartshorn, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 25th, 2024 - about 11 months 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 1740260926 NPPES
Ohio MEDICAID 2533299

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