ADVANCED REGIONAL SURGERY CENTER LLC NPI 1710231642

NPI Information

NPI: 1710231642
Provider Name: ADVANCED REGIONAL SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D1032670

Address:
360 MISSOURI AVENUE 19A
SUITE 102
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 722-1480
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ADVANCED REGIONAL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Jeffersonville, IN. ADVANCED REGIONAL SURGERY CENTER, LLC NPI is 1710231642. The provider is registered as an organization entity type.

The provider's business location address is:

360 MISSOURI AVENUE 19A
SUITE 102
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 722-1480
Fax: (812) 288-2160

The provider's authorized official is Christopher Hartshorn .
The authorized official title is Officer/authorized Official and has the following contact phone number (314) 803-0330.

The CLIA number assigned to this NPI record is 45D1032670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 3/5/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 11/14/2023

NPI Synchronization or Removal

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