Organization
HOSPITAL SERVICES OF INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LYNN SCANLAN (PROVIDER ENROLLMENT DIRECTOR)
(954) 377-2954
Entity
Organization
Contact information
Practice address
303 S MAIN ST, BLUFFTON, IN 46714-2503
(260) 824-3210
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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