institution
Surgicenter Group Llc
Ambulatory Surgical Clinic/Center in Fort Wayne, Indiana
NPI 1093746380

Surgicenter Group Llc is an Ambulatory Surgical Clinic/Center based in Richmond, IN and is specialized in Ambulatory Surgical. Surgicenter Group Llc practices in Fort Wayne, IN. The NPI Number for Surgicenter Group Llc is 1093746380 and holds a License No. (Indiana).

The current practice location address for Surgicenter Group Llc is 321 E Wayne St, Fort Wayne, IN and can be reached out via phone at 260-422-5976 and via fax at 260-969-1041. You can also correspond with Surgicenter Group Llc through the mailing address at PO BOX 457, RICHMOND, IN - 47375-0457 (mailing address contact number: 765-966-1945).

Location: 321 E Wayne St, Fort Wayne, IN, 47375-0457
institution
Provider Profile Details
NPI Number
1093746380
Provider Name
Surgicenter Group Llc
Credential
Provider Entity Type
Organization
Address
321 E Wayne St, Fort Wayne, IN, 47375-0457
Phone Number
260-422-5976
Fax Number
260-969-1041
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000532877 01 IN ANTHEM PIN
200875480A 05 IN
2883910 05 OH
institution
Provider Business Practice Location Address Details
Address
321 E Wayne St
City
State
Zip
46802-2713
Phone Number
260-422-5976
Fax Number
260-969-1041
person
Provider Business Mailing Address Details
Address
321 E Wayne St
City
State
Zip
46802-2713
Phone Number
260-422-5976
Fax Number
260-969-1041
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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