Organization
BELTWAY SURGERY CENTERS, LLC
Active
Other names
BELTWAY SURGERY CENTER SPRINGMILL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON SCHAEFER (ADMINISTRATOR)
(317) 817-1450
Entity
Organization
Contact information
Practice address
10300 N ILLINOIS ST, CARMEL, IN 46290-1166
(317) 278-5050
Mailing address
10300 N ILLINOIS ST, CARMEL, IN 46290-1166
(317) 278-5050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
080022771
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200891870A
—
IN
01
—
ZJ9010
MEDICARE PTAN
—
Enumeration date
01/21/2008
Last updated
01/21/2021
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