Organization Active NPI

Clinton County Outpatient Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Wilmington, OH
National Provider Identifier
1003323353
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CLINTON COUNTY OUTPATIENT SURGERY LLC
Practice address
1150 W Locust St Ste 200
Wilmington, OH 45177-2063
Phone
(937) 383-0088
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen L Page
Title
Vice-President
Phone
(615) 844-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1150 W Locust St Ste 200
Wilmington, OH 45177-2063

Mailing address

103 Continental PL Ste 200
Brentwood, TN 37027-1042
Phone (615) 844-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1003323353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CONTINENTAL PL STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271042",
            "telephone_number": "615-844-9800",
            "fax_number": "615-844-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W LOCUST ST STE 200",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772063",
            "telephone_number": "937-383-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON COUNTY OUTPATIENT SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "615-844-9800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.