Provider Demographics
NPI:1689852618
Name:MILLARD FILLMORE SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:MILLARD FILLMORE SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REVENUE CYCLE OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-859-8383
Mailing Address - Street 1:215 KLEIN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1713
Mailing Address - Country:US
Mailing Address - Phone:716-568-6100
Mailing Address - Fax:
Practice Address - Street 1:215 KLEIN RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-1713
Practice Address - Country:US
Practice Address - Phone:716-568-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical