Provider Demographics
NPI:1619559044
Name:ASCENT SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ASCENT SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CNOR
Authorized Official - Phone:330-323-8526
Mailing Address - Street 1:4889 MUNSON ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3614
Mailing Address - Country:US
Mailing Address - Phone:330-526-6053
Mailing Address - Fax:330-994-0830
Practice Address - Street 1:4889 MUNSON ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3614
Practice Address - Country:US
Practice Address - Phone:330-526-6053
Practice Address - Fax:330-994-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical