# GRANGER SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granger Surgery Center, Northern Indiana Surgery Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215675111
- **Authorized official:** KRISTINA MUSIC AUTHORIZED OFFICIAL (DIRECTOR OF PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-7377

## Contact information

- **Practice address:** 51050 BITTERSWEET RD STE A, GRANGER, IN 46530-7879
- **Practice address phone:** (718) 208-0446
- **Practice address fax:** (574) 244-0240
- **Mailing address:** 51050 BITTERSWEET RD STE A, GRANGER, IN 46530-7879
- **Mailing address phone:** (574) 228-5440
- **Mailing address fax:** (574) 290-1919

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2022
- **Last updated:** 02/12/2026