| Marietta Surgery Center | |
|
611 Second Street Marietta OH 45750 | |
| (740) 374-8596 | |
| (740) 374-9087 |
| Full Name | Marietta Surgery Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 Second Street, Marietta, Ohio |
| Authorized Official Name and Position | Shirley A Thomas (RN ADMINISTRATOR) |
| Authorized Official Contact | 7403748596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta Surgery Center 611 Second Street Marietta OH 45750 Ph: (740) 374-8596 | Marietta Surgery Center 611 Second Street Marietta OH 45750 Ph: (740) 374-8596 |
| NPI Number | 1780649269 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870501646 |
|---|---|
| Medicare Enrollment ID | O20060405000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780649269 | NPI | - | NPPES |
| 2192630 | Medicaid | OH | |
| 1802153000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1081684 (Ohio) | Primary |
Procare Vision Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 2nd St, Marietta, OH 45750 Phone: 740-374-3937 Fax: 740-376-9437 | |
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Hl Krupadev Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 Third Street, Marietta, OH 45750 Phone: 740-373-5119 | |
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Marietta Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Putnam St, Marietta, OH 45750 Phone: 740-236-1232 Fax: 740-236-9191 | |
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