SURGI-CARE LLC NPI 1932536315

NPI Information

NPI: 1932536315
Provider Name: SURGI-CARE LLC

Former Legal Business Name: SURGICARE LLC

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

Specialization: Ambulatory Surgical

Address:
2907 MCINTIRE DRIVE
SUITE C
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 339-8000
Get Directions

SURGI-CARE LLC is an ambulatory surgical clinic center in Bloomington, IN. SURGI-CARE LLC NPI is 1932536315. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Surgicare Llc.

The provider's business location address is:

2907 MCINTIRE DRIVE
SUITE C
BLOOMINGTON, IN
ZIP 47403-224
Phone: (812) 339-8000
Fax: (812) 339-2524

The provider's authorized official is Brian John Logue .
The authorized official title is President and has the following contact phone number (812) 332-8765.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 10/1/2013.

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	13-009971-1	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200145120	MEDICAID	INDIANA
2	ZB0750	MEDICARE PIN	INDIANA

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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