PAIN MANAGEMENT & SURGERY CENTER OF SOUTHERN INDIANA
Surgery Yellow Pages
Bloomington, Indiana
Provider NPI: 1538154604
Organization Information:Organization Name: PAIN MANAGEMENT & SURGERY CENTER OF SOUTHERN INDIANA
Practice Location:
2920 MCINTYRE DR SUITE 150 BLOOMINGTON, IN 47403 US
Tel: 812-333-7246 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:
2920 MCINTYRE DR SUITE 150 BLOOMINGTON, IN 47403 US
Tel: 812-333-7246 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 | 61100223B |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ANTHEM | 000000098134 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin