Licking Memorial Surgical Services

LBN: Licking Memorial Professional Corp.
Licking Memorial Surgical Services is an health care organization with primary practice located at 1272 W Main St Bldg. 3, Newark OH 43055-2004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Licking Memorial Professional Corp. can be contacted via phone (740) 348-1880, or through Montagnese, Robert A. via phone (740) 348-4000.

Contact Information

Primary practice address
1272 W Main St Bldg. 3 Newark OH 43055-2004
Phone: (740) 348-1880
Fax: (740) 348-1881
Website:
Map and Directions
Authorized official contact:
Name: Montagnese, Robert A.
Phone: (740) 348-4000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1366461386
LBN Legal business name Licking Memorial Professional Corp.
DBA Doing business as Licking Memorial Surgical Services
Authorized official Montagnese, Robert A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 22nd, 2020 - 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 1366461386 NPPES
Ohio MEDICAID 2483610

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