Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Governor's Place Ambulatory Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1073828315

Governor's Place Ambulatory Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2010.

Licensed in
OH
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3025 Governors Place Blvd
Dayton, OH 45409-1330
Phone: (937) 293-5567
Fax: (937) 293-5568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1936460 (OH)

Record details

NPI number1073828315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Donnelly — Owner/President Ceo · (937) 293-5567
NPI enumeratedAugust 11, 2010
Last updated in NPPESAugust 11, 2010
Mailing address3025 Governors Place Blvd, Dayton, OH 45409-1330

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