# ADVANCED AMBULATORY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033426580
- **Authorized official:** CARRIE STRAW (BILLING)
- **Authorized official phone:** (812) 758-4034

## Contact information

- **Practice address:** 1101 PROFESSIONAL BLVD STE 104, EVANSVILLE, IN 47714-8018
- **Practice address phone:** (812) 758-4071
- **Practice address fax:** (812) 205-2654
- **Mailing address:** 1101 PROFESSIONAL BLVD, SUITE 104, EVANSVILLE, IN 47714-8016
- **Mailing address phone:** (812) 758-4071
- **Mailing address fax:** (812) 205-2654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1055762A | IN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 09/04/2010
- **Last updated:** 07/09/2025