Organization
MEDICAL CONSULTANTS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI A BIDWELL (BUSINESS OFFICE MANAGER)
(765) 281-2188
Entity
Organization
Contact information
Practice address
800 S TILLOTSON AVE, MUNCIE, IN 47304-4529
(765) 281-2000
(765) 281-2062
Mailing address
PO BOX 2218, MUNCIE, IN 47307-0218
(765) 281-2188
(765) 281-2062
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200432090A
—
IN
01
—
P00369153
MERICARE B RAILROAD
IN
Enumeration date
08/10/2006
Last updated
01/06/2015
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