ADVANCED AMBULATORY SURGERY CENTER LLC NPI 1033426580

NPI Information

NPI: 1033426580
Provider Name: ADVANCED AMBULATORY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1101 PROFESSIONAL BLVD
SUITE 104
EVANSVILLE, IN
ZIP 47714
Phone: (812) 758-4071
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ADVANCED AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Evansville, IN. ADVANCED AMBULATORY SURGERY CENTER, LLC NPI is 1033426580. The provider is registered as an organization entity type.

The provider's business location address is:

1101 PROFESSIONAL BLVD
SUITE 104
EVANSVILLE, IN
ZIP 47714-016
Phone: (812) 758-4071
Fax: (812) 205-2654

The provider's authorized official is Carrie Straw .
The authorized official title is Billing and has the following contact phone number (812) 758-4034.

The enumeration date for this NPI number is 9/4/2010 and was last updated on 4/22/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	1055762A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	IN1197	MEDICARE PIN	INDIANA
2	201070290A	MEDICAID	INDIANA
3	7100212490	MEDICAID	KENTUCKY

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: 4/28/2024

NPI Synchronization or Removal

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