# ADVANCED CENTER FOR CARDIOTHORACIC SURGERY LLC

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

## Provider details

- **NPI number:** 1447520291
- **Authorized official:** MR. JAMES PATRICK KELLY M.D. (PRESIDENT)
- **Authorized official phone:** (574) 647-6500

## Contact information

- **Practice address:** 707 N MICHIGAN ST, 503, SOUTH BEND, IN 46601-1067
- **Practice address phone:** (574) 647-6500
- **Practice address fax:** (574) 647-6518
- **Mailing address:** 707 N MICHIGAN ST, 503, SOUTH BEND, IN 46601-1067
- **Mailing address phone:** (574) 647-6500
- **Mailing address fax:** (574) 647-6518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 01034778A | IN | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/20/2012