Saint Charles Surgical Pavilion Inc in Jasper - Ambulatory Surgical
Saint Charles Surgical Pavilion Inc - NPI 1477513844
Saint Charles Surgical Pavilion Inc is a Ambulatory Surgical in Jasper, Indiana. Saint Charles Surgical Pavilion Inc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Saint Charles Surgical Pavilion Inc is 1477513844. The last update date is 2012-01-13.
Saint Charles Surgical Pavilion Inc's current location address is 1900 Saint Charles Street, Jasper, Indiana. You can contact this provider via phone number 8126341211 and fax number 8126349762. The mailing address for Saint Charles Surgical Pavilion Inc is 1900 Saint Charles Street, Jasper, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Saint Charles Surgical Pavilion Inc |
|---|---|
| Address | 1900 Saint Charles Street, Jasper, Indiana |
| Phone Number | 8126341211 |
| Fax Number | 8126349762 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER CEO |
|---|---|
| Authorized Official Name | Norris Gene Randall |
| Credentials | MD |
| Telephone Number | 8126341211 |
NPI Number Detail
| NPI Number | 1477513844 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2012-01-13 |
Provider Mailing Address Detail
| Address | 1900 Saint Charles Street |
|---|---|
| City | Jasper |
| State | Indiana (IN) |
| Post Code | 475469145 |
| Phone Number | 8126341211 |
| Fax Number | 8126349762 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 60025231 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200318370A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Saint Charles Surgical Pavilion Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Saint Charles Surgical Pavilion Inc has been assigned the NPI (National Provider Identifier) 1477513844. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Saint Charles Surgical Pavilion Inc located?
The Saint Charles Surgical Pavilion Inc is located at 1900 Saint Charles Street, Jasper, IN 475469145.
What is the area of specialization for Saint Charles Surgical Pavilion Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Saint Charles Surgical Pavilion Inc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did the Saint Charles Surgical Pavilion Inc receive its 1477513844 assignment from the Centers for Medicare & Medicaid Services?
The Saint Charles Surgical Pavilion Inc was assigned its 1477513844 by the Centers for Medicare & Medicaid Services on 2006-03-28.
When was the information regarding Saint Charles Surgical Pavilion Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Saint Charles Surgical Pavilion Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-01-13.