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SURGICENTER GROUP LLC NPI 1235116658


NPI Information

NPI: 1235116658
Provider Name: SURGICENTER GROUP, LLC

Doing Business As: MUNCIE AMBULATORY SURGICENTER

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

Specialization: Ambulatory Surgical

Address:
200 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 286-8888
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SURGICENTER GROUP, LLC is an ambulatory surgical clinic center in Muncie, IN. SURGICENTER GROUP, LLC NPI is 1235116658. The provider is registered as an organization entity type.
The provider Is Doing Business As Muncie Ambulatory Surgicenter.

The provider's business location address is:

200 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304-988
Phone: (765) 286-8888
Fax: (765) 747-7962

The provider's authorized official is Kevin T Scripture .
The authorized official title is Part Owner and has the following contact phone number (765) 966-1945.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 2/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalINDIANAYes

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
12154672MEDICAIDOHIO
2ZN0490MEDICARE 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: 4/28/2024

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