SURGICENTER GROUP LLC NPI 1093746380

NPI Information

SURGICENTER GROUP LLC is an ambulatory surgical clinic center in Fort Wayne, IN. SURGICENTER GROUP LLC NPI is 1093746380. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Wayne Ambulatory Surgery Center.

The provider's business location address is:

321 E WAYNE ST
FORT WAYNE, IN
ZIP 46802-713
Phone: (260) 422-5976
Fax: (260) 969-1041

The provider's authorized official is Jeffrey S Rapkin .
The authorized official title is Part Owner and has the following contact phone number (765) 286-8888.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 3/12/2009.

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:

Other Identifiers

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