GRANT AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Marion, IN. GRANT AMBULATORY SURGERY CENTER, LLC NPI is 1700606340. The provider is registered as an organization entity type. The provider .
The provider's business location address is:
803 W GARDNER DR MARION, IN ZIP 46952-819 Phone: (765) 651-4278 Fax: (765) 664-6445
The provider's authorized official is Timothy Grant Gillum . The authorized official title is Physician/owner and has the following contact phone number (765) 651-4278.
The CLIA number assigned to this NPI record is 15D2317630 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/16/2024 and was last updated on 9/8/2025.
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:
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: 11/21/2025
NPI Synchronization or Removal
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