Organization
CPS-EVANSVILLE ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEWIS MD (OWNER)
(502) 314-5549
Entity
Organization
Contact information
Practice address
6016 E COLUMBIA ST, EVANSVILLE, IN 47715
(812) 476-7111
(812) 476-7117
Mailing address
223 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 907-0356
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
06/25/2025
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