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VASCULAR CENTER & VEIN CLINIC OF SOUTHERN INDIANA NPI 1346369287


NPI Information

NPI: 1346369287
Provider Name: VASCULAR CENTER & VEIN CLINIC OF SOUTHERN INDIANA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
815 W 2ND ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 336-4947
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VASCULAR CENTER & VEIN CLINIC OF SOUTHERN INDIANA is a vascular surgery surgery in Bloomington, IN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR CENTER & VEIN CLINIC OF SOUTHERN INDIANA NPI is 1346369287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

815 W 2ND ST
BLOOMINGTON, IN
ZIP 47403-212
Phone: (812) 336-4947
Fax: (812) 339-6947

The provider's authorized official is Ricardo Vasquez .
The authorized official title is President and has the following contact phone number (812) 336-6008.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/10/2008.


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
12086S0129XSurgeryVascular Surgery01062063AINDIANAYes

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
1200818170OTHERINDIANAMEDICAID GROUP
2P00400660OTHERINDIANAMEDICARE RAILROAD INDIVIDUAL
3H55441MEDICARE UPININDIANA
4250940OTHERINDIANAMEDICARE GROUP
5517966OTHERINDIANAANTHEM
6250940AOTHERINDIANAMEDICARE INDIVIDUAL
7200818170AOTHERINDIANAMEDICAID INDIVIDUAL
8DF9011OTHERINDIANAMEDICARE RAILROAD GROUP

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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