# CROWN POINT SURGICAL SUITES, LLC

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

## Provider details

- **NPI number:** 1255936761
- **Authorized official:** JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 11051 BROADWAY STE B, CROWN POINT, IN 46307-7490
- **Practice address phone:** (219) 308-0193
- **Mailing address:** 11051 BROADWAY STE B, CROWN POINT, IN 46307-7490

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 02/20/2026