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SENATE STREET SURGERY CENTER LLC NPI 1669559928


NPI Information

NPI: 1669559928
Provider Name: SENATE STREET SURGERY CENTER LLC

Other Name: CLARIAN HEALTH PARTNERS INC MBR

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

Specialization: Ambulatory Surgical

CLIA Number: 15D1094231

Address:
1701 SENATE BLVD
SUITE 338
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-9303
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SENATE STREET SURGERY CENTER LLC is an ambulatory surgical clinic center in Indianapolis, IN. SENATE STREET SURGERY CENTER LLC NPI is 1669559928. The provider is registered as an organization entity type.
The provider Other Name Is Clarian Health Partners Inc Mbr.

The provider's business location address is:

1701 SENATE BLVD
SUITE 338
INDIANAPOLIS, IN
ZIP 46202-239
Phone: (317) 962-9303

The provider's authorized official is Robert Boeglin .
The authorized official title is President, Senate Street Surgery and has the following contact phone number (317) 562-5660.

The CLIA number assigned to this NPI record is 15D1094231 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 11/1/2011.


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 SurgicalYes

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
1ZJ8080MEDICARE PININDIANA
2200887640AMEDICAIDINDIANA

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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