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EASTERN INDIANA CENTER FOR AMBULATORY SURGERY LLC

Surgery Yellow Pages

Richmond, Indiana

Provider NPI: 1205801461

Organization Information:
Organization Name:  EASTERN INDIANA CENTER FOR AMBULATORY SURGERY LLC


Practice Location:
1350 CHESTER BLVD  RICHMOND, IN 47374 US
Tel: 765-939-1351  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
IN

Other Provider Identifiers:

IssuerNumberStateType
2069532OH05
ANTHEM PROVIDER NUMBER000000098211IN01
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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