# SAINT CHARLES SURGICAL PAVILION INC

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

## Provider details

- **NPI number:** 1477513844
- **Authorized official:** RANDALL GENE NORRIS MD (OWNER CEO)
- **Authorized official phone:** (812) 634-1211

## Contact information

- **Practice address:** 1900 SAINT CHARLES STREET, JASPER, IN 47546-9145
- **Practice address phone:** (812) 634-1211
- **Practice address fax:** (812) 634-9762
- **Mailing address:** 1900 SAINT CHARLES STREET, JASPER, IN 47546-9145
- **Mailing address phone:** (812) 634-1211
- **Mailing address fax:** (812) 634-9762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 060025231 | IN | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 01/13/2012