Providence Surgery Center@ Cornerstone

LBN: Providence Medical Group Inc
Providence Surgery Center@ Cornerstone is an health care organization with primary practice located at 7756 Washington Village Dr Suite 125, Centerville OH 45459-3999. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Providence Medical Group Inc can be contacted via phone (937) 297-8999, or through Becker, Susan J via phone (937) 297-8999.

Contact Information

Primary practice address
7756 Washington Village Dr Suite 125 Centerville OH 45459-3999
Phone: (937) 297-8999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Becker, Susan J COO
Phone: (937) 297-8999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 005030 Ohio

Profile Details

NPI number 1821373945
LBN Legal business name Providence Medical Group Inc
DBA Doing business as Providence Surgery Center@ Cornerstone
Authorized official Becker, Susan J COO
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 20th, 2011
Last updated Oct 20th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821373945 NPPES
Ohio MEDICAID 2380294

Popular Providers