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BLOOMINGTON ENDOSCOPY CENTER, LLC

Surgery Yellow Pages

Bloomington, Indiana

Provider NPI: 1689679508

Organization Information:
Organization Name:  BLOOMINGTON ENDOSCOPY CENTER, LLC


Practice Location:
550 S LANDMARK AVE  BLOOMINGTON, IN 47403 US
Tel: 812-331-3650  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
IN05-002674-1

Other Provider Identifiers:

IssuerNumberStateType
200319120IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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