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ADVANCED REGIONAL SURGERY CENTER LLC NPI 1710231642

NPI Profile

NPI: 1710231642

Provider Name: ADVANCED REGIONAL SURGERY CENTER, LLC

Classification: Clinic/Center - 261QA1903X

Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
360 MISSOURI AVENUE 19A
SUITE 102
JEFFERSONVILLE, IN
ZIP 47130

Phone: (812) 722-1480

ADVANCED REGIONAL SURGERY CENTER, LLC is an ambulatory surgical clinic/center in Jeffersonville, IN. ADVANCED REGIONAL SURGERY CENTER, LLC NPI is 1710231642. The provider is registered as an organization entity type.

The provider's business location address is:

360 MISSOURI AVENUE 19A
SUITE 102
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 722-1480
Fax: (812) 288-2160

The provider's authorized official is Kenneth Hodge .
The authorized official title is Coo and has the following contact phone number (812) 722-1480.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 5/13/2015.

Map - Location of Practice

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: 6/10/2015