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Organization

ASC SURGICAL VENTURES, LLC

Active
Other names
OSMC Outpatient Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
AMY KRISHER RN (DIRECTOR, OUTPATIENT SURGERY CENTER)
(574) 264-0791
Entity
Organization

Contact information

Practice address
2310 CALIFORNIA RD STE B, ELKHART, IN 46514-1228
(574) 264-0791
(574) 970-1374
Mailing address
2310 CALIFORNIA RD, SUITE B, ELKHART, IN 46514-1228
(574) 264-0791
(574) 970-1374

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
009555
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200144280A
IN
Enumeration date
09/25/2006
Last updated
10/07/2024
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