GASTROENTEROLOGY OF INDIANAPOLIS PC NPI 1093764045

NPI Information

GASTROENTEROLOGY OF INDIANAPOLIS PC is an ambulatory surgical clinic center in Carmel, IN. GASTROENTEROLOGY OF INDIANAPOLIS PC NPI is 1093764045. The provider is registered as an organization entity type.
The provider Is Doing Business As Digestive Health Center.

The provider's business location address is:

1120 AAA WAY
CARMEL, IN
ZIP 46032-210
Phone: (317) 848-5494
Fax: (317) 575-0392

The provider's authorized official is Jennifer Gail Fish .
The authorized official title is Business Manager and has the following contact phone number (317) 848-5494.

The CLIA number assigned to this NPI record is 15D0352273 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 7/8/2010.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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