<Unavail>

LBN: Indiana University Health Lakeshore Surgicare Llc
<Unavail> is an health care organization with primary practice located at 3111 Village Pointe , Chesterton IN 46304-9689. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Indiana University Health Lakeshore Surgicare Llc can be contacted via phone (219) 983-1401, or through Thordarson, Gudsteinn T via phone (219) 326-2555.

Contact Information

Primary practice address
3111 Village Pointe Chesterton IN 46304-9689
Fax: (219) 929-1408
Website:
Authorized official contact:
Name: Thordarson, Gudsteinn T N/A

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Indiana
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 13-011186-1 Indiana

Profile Details

NPI number 1427373679
LBN Legal business name Indiana University Health Lakeshore Surgicare Llc
DBA Doing business as <Unavail>
Authorized official Thordarson, Gudsteinn T N/A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2010
Last updated Aug 7th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427373679 NPPES
Indiana Other 10-011186-1 ASC LICENSE
Indiana Other M300021861 ASC LICENSE
Indiana MEDICAID 200990180 A ASC LICENSE

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