Organization
NORTHWEST SURGERY CENTER LLC
Active
Other names
Foot & Ankle Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HUGHES (DIRECTOR OF BUSINESS OPERATIONS)
(317) 621-7509
Entity
Organization
Contact information
Practice address
8651 TOWNSHIP LINE ROAD, INDIANAPOLIS, IN 46260-1578
(317) 621-3010
(317) 621-3011
Mailing address
8651 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1578
(317) 621-3010
(317) 621-3011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
61100198B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098120
ANTHEM PIN NUMBER
IN
05
—
200066340
—
IN
05
—
200066340A
—
IN
Enumeration date
11/11/2005
Last updated
01/23/2015
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