Organization
ADVANCED AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE STRAW (BILLING)
(812) 758-4034
Entity
Organization
Contact information
Practice address
1101 PROFESSIONAL BLVD STE 104, EVANSVILLE, IN 47714-8018
(812) 758-4071
(812) 205-2654
Mailing address
1101 PROFESSIONAL BLVD, SUITE 104, EVANSVILLE, IN 47714-8016
(812) 758-4071
(812) 205-2654
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1055762A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201070290A
—
IN
05
—
300113301
—
IN
05
—
7100212490
—
KY
Enumeration date
09/04/2010
Last updated
07/09/2025
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