Organization
BELTWAY SURGERY CENTERS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BOEGLIN M.D. (PRESIDENT)
(317) 817-1456
Entity
Organization
Contact information
Practice address
550 UNIVERSITY BLVD STE 4100, INDIANAPOLIS, IN 46202-5149
(317) 817-1456
(317) 805-2242
Mailing address
550 UNIVERSITY BLVD STE 4100, INDIANAPOLIS, IN 46202-5149
(317) 817-1456
(317) 805-2242
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201059860A
—
IN
01
—
M300075519
MEDICARE PTAN
IN
Enumeration date
05/26/2010
Last updated
08/07/2012
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