Organization
CARMEL AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHARLOTTE BODEN (DIRECTOR)
(317) 706-1611
Entity
Organization
Contact information
Practice address
13421 OLD MERIDIAN ST, SUITE 100, CARMEL, IN 46032-1427
(317) 706-1600
(317) 706-1601
Mailing address
13421 OLD MERIDIAN ST, SUITE 100, CARMEL, IN 46032-1427
(317) 706-1600
(317) 706-1601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
06-003497-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200464700B
—
IN
01
—
P00086251
RAILROAD MEDICARE
IN
Enumeration date
06/28/2006
Last updated
12/10/2013
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