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Organization

ROC SURGERY LLC

Active
Other names
Riley Outpatient Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN KOUSAGAN (EXECUTIVE DIRECTOR)
(504) 220-8912
Entity
Organization

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-1511
Mailing address
950 N MERIDIAN ST STE 910, INDIANAPOLIS, IN 46204-1077
(178) 052-2473

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201008760A
IN
01
M300040674
MEDICARE PTAN
IN
Enumeration date
04/29/2010
Last updated
08/05/2025
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