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NORTHERN INDIANA AMBULATORY SURGERY

Surgery Yellow Pages

Elkhart, Indiana

Provider NPI: 1033190566

Organization Information:
Organization Name:  NORTHERN INDIANA AMBULATORY SURGERY


Practice Location:
500 ARCADE AVE SUITE 100 ELKHART, IN 46514 US
Tel: 574-522-9505  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BLUE CROSS000000098159IN01
PHP PHYSICIANS HEALTH PLA14470IN01
RR MEDICARE490003441IN01
200161520IN05
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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