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INTEG HEALTH SYSTEM P.C. NPI 1013999580


NPI Information

NPI: 1013999580
Provider Name: INTEG HEALTH SYSTEM, P.C.

Doing Business As: BLOOMINGTON SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1011 W 2ND ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 334-1213
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INTEG HEALTH SYSTEM, P.C. is an ambulatory surgical clinic center in Bloomington, IN. INTEG HEALTH SYSTEM, P.C. NPI is 1013999580. The provider is registered as an organization entity type.
The provider Is Doing Business As Bloomington Surgery Center.

The provider's business location address is:

1011 W 2ND ST
BLOOMINGTON, IN
ZIP 47403-216
Phone: (812) 334-1213
Fax: (812) 333-5039

The provider's authorized official is Rex Daniel Grossman .
The authorized official title is President, Secretary, & Treasurer and has the following contact phone number (812) 334-1213.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 2/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical50003177AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100274370AMEDICAIDINDIANA
2ZB0880MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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