Fort Wayne Ambulatory Surgery Center

LBN: Surgicenter Group Llc
Fort Wayne Ambulatory Surgery Center is an health care organization with primary practice located at 321 E Wayne St , Fort Wayne IN 46802-2713. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgicenter Group Llc can be contacted via phone (260) 422-5976, or through Rapkin, Jeffrey S via phone (765) 286-8888.

Contact Information

Primary practice address
321 E Wayne St Fort Wayne IN 46802-2713
Phone: (260) 422-5976
Fax: (260) 969-1041
Website:
Map and Directions
Authorized official contact:
Name: Rapkin, Jeffrey S
Phone: (765) 286-8888

Health care specialties

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

Profile Details

NPI number 1093746380
LBN Legal business name Surgicenter Group Llc
DBA Doing business as Fort Wayne Ambulatory Surgery Center
Authorized official Rapkin, Jeffrey S
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 12th, 2009 - about 16 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 1093746380 NPPES
Indiana Other 000000532877 ANTHEM PIN
Indiana MEDICAID 200875480A ANTHEM PIN
Indiana MEDICAID 2883910 ANTHEM PIN

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