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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1350 CHESTER BLVD RICHMOND, IN 47374 US
Tel: 765-939-1351 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | IN |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2069532 | OH | 05 | |
ANTHEM PROVIDER NUMBER | 000000098211 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin