Sullivan Surgicenter,Llc in Sullivan - Ambulatory Surgical
Sullivan Surgicenter,Llc - NPI 1700854072
Sullivan Surgicenter,Llc is a Ambulatory Surgical in Sullivan, Indiana. Sullivan Surgicenter,Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Sullivan Surgicenter,Llc is 1700854072. The last update date is 2012-12-06.
Sullivan Surgicenter,Llc's current location address is 320 N Section St, Sullivan, Indiana. You can contact this provider via phone number 8122689000 and fax number 8122688822. The mailing address for Sullivan Surgicenter,Llc is 320 N Section St, Sullivan, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sullivan Surgicenter,Llc |
|---|---|
| Address | 320 N Section St, Sullivan, Indiana |
| Phone Number | 8122689000 |
| Fax Number | 8122688822 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Lim L Custodio |
| Credentials | MD |
| Telephone Number | 8122689000 |
NPI Number Detail
| NPI Number | 1700854072 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2012-12-06 |
Provider Mailing Address Detail
| Address | 320 N Section St |
|---|---|
| City | Sullivan |
| State | Indiana (IN) |
| Post Code | 478821239 |
| Phone Number | 8122689000 |
| Fax Number | 8122688822 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 05-003633-1 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200503030 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sullivan Surgicenter,Llc by the Centers for Medicare & Medicaid Services?
The Sullivan Surgicenter,Llc has been assigned the NPI (National Provider Identifier) 1700854072. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sullivan Surgicenter,Llc's facilities are geographically located?
The facilities of Sullivan Surgicenter,Llc are physically situated at the following location: 320 N Section St, Sullivan, IN, 478821239.
What is Sullivan Surgicenter,Llc's area of expertise and its corresponding taxonomy classification?
The Sullivan Surgicenter,Llc's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1700854072 to Sullivan Surgicenter,Llc?
The Centers for Medicare & Medicaid Services assigned the 1700854072 to Sullivan Surgicenter,Llc on 2006-03-10.
When was the Sullivan Surgicenter,Llc's information last updated?
The Sullivan Surgicenter,Llc's information was last updated on 2012-12-06.