Provider Demographics
NPI:1215118930
Name:DELPHOS AMBULATORY SURGERY CENTER INC
Entity type:Organization
Organization Name:DELPHOS AMBULATORY SURGERY CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEHRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-692-1055
Mailing Address - Street 1:1775 E FIFTH ST
Mailing Address - Street 2:PO BOX 458
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-0458
Mailing Address - Country:US
Mailing Address - Phone:419-692-1055
Mailing Address - Fax:419-692-4203
Practice Address - Street 1:1775 E FIFTH ST
Practice Address - Street 2:
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-0458
Practice Address - Country:US
Practice Address - Phone:419-692-1055
Practice Address - Fax:419-692-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical