Provider Demographics
NPI:1619093291
Name:ZEEBA SURGERY CENTER LP
Entity Type:Organization
Organization Name:ZEEBA SURGERY CENTER LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UH DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-767-8793
Mailing Address - Street 1:PO BOX 74033
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-4033
Mailing Address - Country:US
Mailing Address - Phone:216-767-8793
Mailing Address - Fax:216-767-8778
Practice Address - Street 1:29017 CEDAR RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-4073
Practice Address - Country:US
Practice Address - Phone:216-767-8793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2088860Medicaid
OH36-C0001111Medicare ID - Type UnspecifiedMEDICARE PROV NO