Vascular Center & Vein Clinic Of Southern Indiana in Bloomington - Vascular Surgery
Vascular Center & Vein Clinic Of Southern Indiana - NPI 1346369287
Vascular Center & Vein Clinic Of Southern Indiana is a Vascular Surgery in Bloomington, Indiana. Vascular Center & Vein Clinic Of Southern Indiana practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Vascular Center & Vein Clinic Of Southern Indiana is 1346369287. The last update date is 2008-12-10.
Vascular Center & Vein Clinic Of Southern Indiana's current location address is 815 W 2nd St, Bloomington, Indiana. You can contact this provider via phone number 8123366008 and fax number 8123396947. The mailing address for Vascular Center & Vein Clinic Of Southern Indiana is 815 W 2nd St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vascular Center & Vein Clinic Of Southern Indiana |
|---|---|
| Address | 815 W 2nd St, Bloomington, Indiana |
| Phone Number | 8123366008 |
| Fax Number | 8123396947 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vasquez Ricardo |
| Credentials | MD |
| Telephone Number | 8123366008 |
NPI Number Detail
| NPI Number | 1346369287 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2008-12-10 |
Provider Mailing Address Detail
| Address | 815 W 2nd St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032212 |
| Phone Number | 8123366008 |
| Fax Number | 8123396947 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 01062063A |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DF9011 | IN | MEDICARE RAILROAD GROUP | |
| 250940 | IN | MEDICARE GROUP | |
| 250940A | IN | MEDICARE INDIVIDUAL | |
| 517966 | IN | ANTHEM | |
| 200818170A | IN | MEDICAID INDIVIDUAL | |
| P00400660 | IN | MEDICARE RAILROAD INDIVIDUAL | |
| 200818170 | IN | MEDICAID GROUP |
Post Comment/ Review Below
What is the unique identification code assigned to Vascular Center & Vein Clinic Of Southern Indiana by the Centers for Medicare & Medicaid Services?
The Vascular Center & Vein Clinic Of Southern Indiana has been issued the NPI (National Provider Identifier) 1346369287. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Vascular Center & Vein Clinic Of Southern Indiana's facilities are situated?
The facilities of Vascular Center & Vein Clinic Of Southern Indiana are physically located at the following address: 815 W 2Nd St, Bloomington, IN, 474032212.
What is Vascular Center & Vein Clinic Of Southern Indiana's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vascular Center & Vein Clinic Of Southern Indiana's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did Vascular Center & Vein Clinic Of Southern Indiana receive its 1346369287 assignment from the Centers for Medicare & Medicaid Services?
The Vascular Center & Vein Clinic Of Southern Indiana was assigned its 1346369287 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Vascular Center & Vein Clinic Of Southern Indiana, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vascular Center & Vein Clinic Of Southern Indiana, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-12-10.