ADVANCED SURGERY CENTER, LLC; NPI #1912971326

Contact Information

ADVANCED SURGERY CENTER, LLC

1400 TEAL RD
SUITE 7
LAFAYETTE, IN 47905-2463

Phone: 765-474-0272
Fax: 765-477-8200
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADVANCED SURGERY CENTER, LLC

NPI Number 1912971326

LBN Legal business name ADVANCED SURGERY CENTER, LLC

Authorized official PATRICK HOPEN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/14/2006

Last updated 02/19/2024 - About 2 years ago

Identifiers

Medicaid

200147980A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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