Organization
NORTHERN INDIANA AMBULATORY SURGERY CENTER
Active
Other names
RiverPointe Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA M TAYLOR (BUSINESS MANAGER)
(574) 522-9505
Entity
Organization
Contact information
Practice address
500 ARCADE AVE, SUITE 100, ELKHART, IN 46514-2477
(574) 522-9505
(574) 296-6484
Mailing address
500 ARCADE AVE, SUITE 100, ELKHART, IN 46514-2477
(574) 522-9505
(574) 296-6484
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098159
ANTHEM BLUE CROSS
IN
01
—
14470
PHP PHYSICIANS HEALTH PLA
IN
05
—
200161520
—
IN
01
—
490003441
RR MEDICARE
IN
Enumeration date
11/10/2005
Last updated
03/12/2024
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