Southern Indiana Surgery Center

LBN: Southern Indiana Surgery Center, Llc
Southern Indiana Surgery Center is an health care organization with primary practice located at 2800 Rex Grossman Blvd , Bloomington IN 47403-5145. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Southern Indiana Surgery Center, Llc can be contacted via phone (812) 333-8969, or through Scales, Misty via phone (812) 333-8969.

Contact Information

Primary practice address
2800 Rex Grossman Blvd Bloomington IN 47403-5145
Phone: (812) 333-8969
Fax: (812) 335-2309
Website:
Map and Directions
Authorized official contact:
Name: Scales, Misty
Phone: (812) 333-8969

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 06-006102-1 Indiana

Profile Details

NPI number 1083796221
LBN Legal business name Southern Indiana Surgery Center, Llc
DBA Doing business as Southern Indiana Surgery Center
Authorized official Scales, Misty
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Mar 15th, 2010 - about 16 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 1083796221 NPPES
Indiana MEDICAID 100274500A

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