GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC – NPI #1073828315
Clinic/Center

GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC is an AHC clinic located in DAYTON, OH. NPPES has assigned the NPI number 1073828315 to GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC on August 11, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC below.

NPI Profile for
GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC

NPI Number
1073828315
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC
Primary location
3025 GOVERNORS PLACE BLVD
DAYTON, OH 45409-1330
Phone: (937) 293-5567 Fax: (937) 293-5568
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HEIDI DONNELLY
OWNER/PRESIDENT CEO
Phone: (937) 293-5567
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 OH 1936460

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.