IMA ENDOSCOPY SURGICENTER P C; NPI #1235160938

Contact Information

IMA ENDOSCOPY SURGICENTER P C

8895 BROADWAY
MERRILLVILLE, IN 46410-7037

Phone: 219-738-2081
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for IMA ENDOSCOPY SURGICENTER P C

NPI # 1235160938

LBN Legal business name IMA ENDOSCOPY SURGICENTER P C

Authorized official DANIEL HURWICH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2006

Last updated 02/29/2012 - About 14 years ago

Identifiers

IN	License #	50003667A
IN	Medicaid	100274530A

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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