Surgery Alliance Ltd | |
975 Sawburg Ave Alliance OH 44601-3515 | |
(330) 821-7997 | |
(330) 821-7295 |
Full Name | Surgery Alliance Ltd |
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Speciality | Clinic/Center |
Location | 975 Sawburg Ave, Alliance, Ohio |
Authorized Official Name and Position | Hazel Thomas (ADMINISTRATOR) |
Authorized Official Contact | 3308217997 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Surgery Alliance Ltd 975 Sawburg Ave Alliance OH 44601-3515 Ph: (330) 821-7997 | Surgery Alliance Ltd 975 Sawburg Ave Alliance OH 44601-3515 Ph: (330) 821-7997 |
NPI Number | 1558345033 |
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Provider Enumeration Date | 11/30/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5597805291 |
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Medicare Enrollment ID | O20091210000247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558345033 | NPI | - | NPPES |
0177393 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 0030AS (Ohio) | Primary |
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