# CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC
- **Other names:** OrthoAlliance of Indiana
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164917050
- **Legal business name:** CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC
- **Authorized official:** BRENDA K CAMPBELL (EXECUTIVE SECRETARY)
- **Authorized official phone:** (765) 213-3864

## Contact information

- **Practice address:** 3600 W BETHEL AVE, MUNCIE, IN 47304-5407
- **Practice address phone:** (765) 213-3864
- **Mailing address:** 3600 W BETHEL AVE, MUNCIE, IN 47304-5407
- **Mailing address phone:** (765) 213-3864

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 05/18/2023