# MUNSTER SPECIALTY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Munster Specialty Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649520057
- **Authorized official:** CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (314) 800-2017

## Contact information

- **Practice address:** 9200 CALUMET AVE, SUITE S-100, MUNSTER, IN 46321-2885
- **Practice address phone:** (219) 595-0789
- **Practice address fax:** (219) 595-0748
- **Mailing address:** 9200 CALUMET AVE, SUITE S-100, MUNSTER, IN 46321-2885
- **Mailing address phone:** (219) 595-0789
- **Mailing address fax:** (219) 595-0748

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 10/14/2024