Saint Charles Surgical Pavilion Inc

LBN: Saint Charles Surgical Pavilion Inc
Saint Charles Surgical Pavilion Inc is an health care organization with primary practice located at 1900 Saint Charles Street , Jasper IN 47546-9145. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Saint Charles Surgical Pavilion Inc can be contacted via phone (812) 634-1211, or through Norris, Randall Gene via phone (812) 634-1211.

Contact Information

Primary practice address
1900 Saint Charles Street Jasper IN 47546-9145
Phone: (812) 634-1211
Fax: (812) 634-9762
Website:
Map and Directions
Authorized official contact:
Name: Norris, Randall Gene Doctor of Medicine (MD)
Phone: (812) 634-1211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 060025231 Indiana

Profile Details

NPI number 1477513844
LBN Legal business name Saint Charles Surgical Pavilion Inc
DBA Doing business as
Authorized official Norris, Randall Gene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated Jan 13th, 2012 - about 13 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 1477513844 NPPES
Indiana MEDICAID 200318370A

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