Provider Demographics
NPI:1235394529
Name:ACCOMODATIVE SURGERY CENTER, L.L.C.
Entity Type:Organization
Organization Name:ACCOMODATIVE SURGERY CENTER, L.L.C.
Other - Org Name:BRECKSVILLE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:WILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-621-6132
Mailing Address - Street 1:7001 S EDGERTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4203
Mailing Address - Country:US
Mailing Address - Phone:440-717-0591
Mailing Address - Fax:440-717-0594
Practice Address - Street 1:7001 S EDGERTON RD STE A
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-4203
Practice Address - Country:US
Practice Address - Phone:440-717-0591
Practice Address - Fax:440-717-0594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical