# NORTHWEST REGIONAL SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1871838003
- **Authorized official:** JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 8900 BROADWAY, MERRILLVILLE, IN 46410-7040
- **Practice address phone:** (219) 252-2173
- **Mailing address:** 14201 DALLAS PKWY, DALLAS, TX 75254-2916
- **Mailing address phone:** (972) 763-3859
- **Mailing address fax:** (972) 920-3445

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 10/01/2026