Active NPI
Far Hills Surgical Center, LTD
- Ambulatory Surgical Clinic/Center
- Centerville, OH
National Provider Identifier
1770632259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0716AS
- Legal business name
- FAR HILLS SURGICAL CENTER, LTD
- Practice address
- 6601 Centerville Business Parkway
Suite 301
Centerville, OH 45459 - Phone
- (937) 294-9840
- Fax
- (937) 294-9843
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Galvin
- Title
- Administrator
- Phone
- (937) 294-9840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0716AS | OH | Primary |
Addresses
Primary practice location
6601 Centerville Business Parkway
Suite 301
Centerville, OH 45459
Mailing address
6601 Centerville Business Parkway
Suite 301
Centerville, OH 45459
Phone (937) 294-9840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2435752 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
6601 Centerville Business Pkwy
Ste 301
Centerville, OH 45459
Phone (937) 208-2111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1770632259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 CENTERVILLE BUSINESS PARKWAY",
"address_2": "SUITE 301",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-294-9840",
"fax_number": "937-294-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 CENTERVILLE BUSINESS PARKWAY",
"address_2": "SUITE 301",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-294-9840",
"fax_number": "937-294-9843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAR HILLS SURGICAL CENTER, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "GALVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "937-294-9840"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "0716AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2435752",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.