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SOUTHERN INDIANA SURGERY CENTER LLC NPI 1083796221


NPI Information

NPI: 1083796221
Provider Name: SOUTHERN INDIANA SURGERY CENTER, LLC

Doing Business As: SOUTHERN INDIANA SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
2800 REX GROSSMAN BLVD
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 333-8969
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SOUTHERN INDIANA SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bloomington, IN. SOUTHERN INDIANA SURGERY CENTER, LLC NPI is 1083796221. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Indiana Surgery Center.

The provider's business location address is:

2800 REX GROSSMAN BLVD
BLOOMINGTON, IN
ZIP 47403-145
Phone: (812) 333-8969
Fax: (812) 335-2309

The provider's authorized official is Misty Scales .
The authorized official title is Business Office Manager and has the following contact phone number (812) 333-8969.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 3/15/2010.


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 Surgical06-006102-1INDIANAYes

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
1ZB0360MEDICARE UPININDIANA
2100274500AMEDICAIDINDIANA

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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