NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC
Surgery Yellow Pages
Merrillville, Indiana
Provider NPI: 1609874254
Organization Information:Organization Name: NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC
Practice Location:
8514 BROADWAY MERRILLVILLE, IN 46410 US
Tel: 219-756-5010 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:
8514 BROADWAY MERRILLVILLE, IN 46410 US
Tel: 219-756-5010 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 | 05-005727-1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RR MEDICARE | 490005624 | 01 | |
200428490A | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin