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CARMEL AMBULATORY SURGERY CENTER LLC NPI 1497782833


NPI Information

NPI: 1497782833
Provider Name: CARMEL AMBULATORY SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 15D1006790

Address:
13421 OLD MERIDIAN ST
SUITE 100
CARMEL, IN
ZIP 46032
Phone: (317) 706-1600
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CARMEL AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Carmel, IN. CARMEL AMBULATORY SURGERY CENTER LLC NPI is 1497782833. The provider is registered as an organization entity type.

The provider's business location address is:

13421 OLD MERIDIAN ST
SUITE 100
CARMEL, IN
ZIP 46032-427
Phone: (317) 706-1600
Fax: (317) 706-1601

The provider's authorized official is Charlotte Boden .
The authorized official title is Director and has the following contact phone number (317) 706-1611.

The CLIA number assigned to this NPI record is 15D1006790 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 12/10/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical06-003497-1INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZJ5050MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE PROVIDER #
2P00086251OTHERINDIANARAILROAD MEDICARE
3200464700BMEDICAIDINDIANA

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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