Organization
INTEG HEALTH SYSTEM, P.C.
Active
Other names
Bloomington Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
REX DANIEL GROSSMAN M.D. (PRESIDENT, SECRETARY, & TREASURER)
(812) 334-1213
Entity
Organization
Contact information
Practice address
1011 W 2ND ST, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039
Mailing address
1011 W 2ND ST, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50003177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100274370A
—
IN
Enumeration date
11/18/2005
Last updated
02/24/2013
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