institution
Summit Surgical Suites, Llc
Ambulatory Surgical Clinic/Center in Fort Wayne, Indiana
NPI 1154322410

Summit Surgical Suites, Llc is an Ambulatory Surgical Clinic/Center based in Fort Wayne, IN and is specialized in Ambulatory Surgical. Summit Surgical Suites, Llc practices in Fort Wayne, IN. The NPI Number for Summit Surgical Suites, Llc is 1154322410 and holds a License No. 05-003212-1 (Indiana).

The current practice location address for Summit Surgical Suites, Llc is 7920 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-434-2022 and via fax at 260-434-2023.

Location: 7920 W Jefferson Blvd, Fort Wayne, IN, 46804-4168
institution
Provider Profile Details
NPI Number
1154322410
Provider Name
Summit Surgical Suites, Llc
Credential
Provider Entity Type
Organization
Address
7920 W Jefferson Blvd, Fort Wayne, IN, 46804-4168
Phone Number
260-434-2022
Fax Number
260-434-2023
Provider Enumeration Date
08/09/2005
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200413500 05 IN
13443 01 IN PHP PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
7920 W Jefferson Blvd
City
State
Zip
46804-4168
Phone Number
260-434-2022
Fax Number
260-434-2023
person
Provider Business Mailing Address Details
Address
7920 W Jefferson Blvd
City
State
Zip
46804-4168
Phone Number
260-434-2022
Fax Number
260-434-2023
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
05-003212-1 (Indiana)
Definition
Definition to come...
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