Organization
NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE GLASS (BILLING MANAGER)
(219) 937-5067
Entity
Organization
Contact information
Practice address
9797 MASSACHUSETTS ST, CROWN POINT, IN 46307-0278
(219) 756-5010
(219) 756-5106
Mailing address
9797 MASSACHUSETTS ST, CROWN POINT, IN 46307-0278
(219) 756-5010
(219) 756-5106
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05-005727-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428490A
—
IN
01
—
490005624
RR MEDICARE
—
Enumeration date
07/08/2005
Last updated
03/06/2025
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