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Organization
JESC LLC
Active
Organization
JESC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SIMS (BILLING MANAGER)
(812) 266-2903
Entity
Organization
Contact information
Practice address
647 WEST SECOND STREET SUITE A, JASPER, IN 47546
(812) 477-6103
Mailing address
3800 VENETIAN WAY, NEWBURGH, IN 47630-8257
(812) 477-6103
(812) 469-3285
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/15/2019
Last updated
01/20/2022
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