Bloomington Surgery Center

LBN: Integ Health System, P.C.
Bloomington Surgery Center is an health care organization with primary practice located at 1011 W 2Nd St , Bloomington IN 47403-2216. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Integ Health System, P.C. can be contacted via phone (812) 334-1213, or through Grossman, Rex Daniel via phone (812) 334-1213.

Contact Information

Primary practice address
1011 W 2Nd St Bloomington IN 47403-2216
Phone: (812) 334-1213
Fax: (812) 333-5039
Website:
Map and Directions
Authorized official contact:
Name: Grossman, Rex Daniel Doctor of Medicine (MD)
Phone: (812) 334-1213

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 50003177A Indiana

Profile Details

NPI number 1013999580
LBN Legal business name Integ Health System, P.C.
DBA Doing business as Bloomington Surgery Center
Authorized official Grossman, Rex Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 24th, 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 1013999580 NPPES
Indiana MEDICAID 100274370A

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