# SURGICENTER GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Wayne Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093746380
- **Authorized official:** DR. JEFFREY S RAPKIN (PART OWNER)
- **Authorized official phone:** (765) 286-8888

## Contact information

- **Practice address:** 321 E WAYNE ST, FORT WAYNE, IN 46802-2713
- **Practice address phone:** (260) 422-5976
- **Practice address fax:** (260) 969-1041
- **Mailing address:** PO BOX 457, RICHMOND, IN 47375-0457
- **Mailing address phone:** (765) 966-1945
- **Mailing address fax:** (765) 966-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 03/12/2009