institution
South Bend In Endoscopy Asc Llc
Endoscopy Clinic/Center in South Bend, Indiana
NPI 1427051796

South Bend In Endoscopy Asc Llc is a Endoscopy Clinic/Center based in Nashville, IN and is specialized in Endoscopy. South Bend In Endoscopy Asc Llc practices in South Bend, IN. The NPI Number for South Bend In Endoscopy Asc Llc is 1427051796 and holds a License No. 17-009761-1 (Indiana).

The current practice location address for South Bend In Endoscopy Asc Llc is 53830 Generations Dr, South Bend, IN and can be reached out via phone at 574-271-0893 and via fax at 574-271-4362. You can also correspond with South Bend In Endoscopy Asc Llc through the mailing address at 1A BURTON HILLS BLVD, NASHVILLE, TN - 37215-6103 (mailing address contact number: 574-271-0893).

Location: 53830 Generations Dr, South Bend, IN, 37215-6103
institution
Provider Profile Details
NPI Number
1427051796
Provider Name
South Bend In Endoscopy Asc Llc
Credential
Provider Entity Type
Organization
Address
53830 Generations Dr, South Bend, IN, 37215-6103
Phone Number
574-271-0893
Fax Number
574-271-4362
Provider Enumeration Date
05/31/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200156540 05 IN
000000098200 01 IN BLUE CROSS INDIANA
institution
Provider Business Practice Location Address Details
Address
53830 Generations Dr
City
State
Zip
46635-1557
Phone Number
574-271-0893
Fax Number
574-271-4362
person
Provider Business Mailing Address Details
Address
1A Burton Hills Blvd
City
State
Zip
37215-6103
Phone Number
574-271-0893
Fax Number
574-271-4362
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
010076 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
License No.
17-009761-1 (Indiana)
Definition
Definition to come...
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