Organization
AMBULATORY CARE CENTER LLC
Active
Other names
Surgicare Outpatient Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JARVIS MBA (CONTROLLER)
(812) 475-1000
Entity
Organization
Contact information
Practice address
1125 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8001
(812) 475-1000
(812) 475-1001
Mailing address
1125 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8001
(812) 475-1000
(812) 475-1001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7623
IN
Other
Enumeration date
09/07/2005
Last updated
08/22/2020
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