MERCY PREMIUM SURGERY CENTER – NPI #1588633184
Clinic/Center
MERCY PREMIUM SURGERY CENTER is an AHC clinic located in ELYRIA, OH. NPPES has assigned the NPI number 1588633184 to MERCY PREMIUM SURGERY CENTER on March 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERCY PREMIUM SURGERY CENTER” is a dba name, the actual legal business name for this organization is PREMIUM SURGERY CENTER LLC. 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
The NPI profile was previously updated about 7 years ago on Apr 18, 2019. 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 MERCY PREMIUM SURGERY CENTER below.
NPI Profile for
PREMIUM SURGERY CENTER LLC
(more than 20 years ago)
ELYRIA, OH 44035 Phone: (440) 930-6042 Fax: (440) 930-6105
TITLE ADMIN
Phone: (440) 937-5851
Identifiers for MERCY PREMIUM SURGERY CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | 000000338767 | |
| OTHER | RR MEDICARE | P00124229 | |
| MEDICAID | OH | 2213107 |
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 | 0572AS |
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.