Sullivan Surgicenter,Llc

LBN: Sullivan Surgicenter,Llc
Sullivan Surgicenter,Llc is an health care organization with primary practice located at 320 N Section St , Sullivan IN 47882-1239. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Sullivan Surgicenter,Llc can be contacted via phone (812) 268-9000, or through Lim, Custodio L via phone (812) 268-9000.

Contact Information

Primary practice address
320 N Section St Sullivan IN 47882-1239
Phone: (812) 268-9000
Fax: (812) 268-8822
Website:
Map and Directions
Authorized official contact:
Name: Lim, Custodio L Doctor of Medicine (MD)
Phone: (812) 268-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 05-003633-1 Indiana

Profile Details

NPI number 1700854072
LBN Legal business name Sullivan Surgicenter,Llc
DBA Doing business as
Authorized official Lim, Custodio L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Dec 6th, 2012 - about 14 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 1700854072 NPPES
Indiana MEDICAID 200503030

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