INDIANA SPECIALTY SURGERY CENTER LLC NPI 1174777817

NPI Information

NPI: 1174777817
Provider Name: INDIANA SPECIALTY SURGERY CENTER, LLC

Doing Business As: INDIANA SPECIALTY SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
1380 W ARCH HAVEN AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 330-1164
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INDIANA SPECIALTY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bloomington, IN. INDIANA SPECIALTY SURGERY CENTER, LLC NPI is 1174777817. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Specialty Surgery Center.

The provider's business location address is:

1380 W ARCH HAVEN AVE
BLOOMINGTON, IN
ZIP 47403-055
Phone: (812) 330-1164
Fax: (812) 332-5102

The provider's authorized official is Gregory M Fox .
The authorized official title is Ceo and has the following contact phone number (812) 333-4000.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 11/7/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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