LANDMARK SURGICAL SUITES LLC NPI 1902401748

NPI Information

NPI: 1902401748
Provider Name: LANDMARK SURGICAL SUITES, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 15D2208667

Address:
2990 GOTTBRATH PARKWAY
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 671-0990
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LANDMARK SURGICAL SUITES, LLC is an ambulatory surgical clinic center in Jeffersonville, IN. LANDMARK SURGICAL SUITES, LLC NPI is 1902401748. The provider is registered as an organization entity type.

The provider's business location address is:

2990 GOTTBRATH PARKWAY
JEFFERSONVILLE, IN
ZIP 47130-901
Phone: (812) 671-0990

The provider's authorized official is Sara Bressman .
The authorized official title is Market President and has the following contact phone number (402) 779-6135.

The CLIA number assigned to this NPI record is 15D2208667 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 3/17/2023.

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: 4/28/2024

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