The Surgery Center

LBN: Ent Realty Corp
The Surgery Center is an health care organization with primary practice located at 7900 W Jefferson Blvd Suite 102, Fort Wayne IN 46804-4128. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ent Realty Corp can be contacted via phone (260) 432-4368, or through Thompson, Holly via phone (260) 207-1675.

Contact Information

Primary practice address
7900 W Jefferson Blvd Suite 102 Fort Wayne IN 46804-4128
Phone: (260) 432-4368
Fax: (260) 436-6283
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Holly
Phone: (260) 207-1675

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1588640353
LBN Legal business name Ent Realty Corp
DBA Doing business as The Surgery Center
Authorized official Thompson, Holly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588640353 NPPES
Indiana MEDICAID 200138850

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