Organization
SURGICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A EADS MD (MANAGING MEMBER)
(812) 339-8000
Entity
Organization
Contact information
Practice address
2907 MCINTYRE DR, BLOOMINGTON, IN 47403-4209
(812) 339-8000
(812) 339-2524
Mailing address
2907 MCINTYRE DR, BLOOMINGTON, IN 47403-4209
(812) 339-8000
(812) 339-2524
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098138
ANTHEM BLUE SHIELD
IN
01
—
ZB0750
TRAVELERS MEDICARE
IN
Enumeration date
01/24/2006
Last updated
12/05/2024
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