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:
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:
500 ARCADE AVE SUITE 100 ELKHART, IN 46514 US
Tel: 574-522-9505 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 |
---|---|---|---|
ANTHEM BLUE CROSS | 000000098159 | IN | 01 |
PHP PHYSICIANS HEALTH PLA | 14470 | IN | 01 |
RR MEDICARE | 490003441 | IN | 01 |
200161520 | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin