# CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1447260575
- **Authorized official:** MR. VICTOR P MORAN (EXECUTIVE DIRECTOR/CFO)
- **Authorized official phone:** (765) 284-7738

## Contact information

- **Practice address:** 3600 W BETHEL AVE, MUNCIE, IN 47304-5407
- **Practice address phone:** (765) 284-7738
- **Practice address fax:** (765) 213-3713
- **Mailing address:** PO BOX 1987, MUNCIE, IN 47308-1987
- **Mailing address phone:** (765) 284-7738
- **Mailing address fax:** (765) 213-3713

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 04/17/2015