Organization
CAPITOL STREET SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA HUGHES RN BSN (DIRECTOR)
(317) 385-3051
Entity
Organization
Contact information
Practice address
2007 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1221
(317) 385-3051
Mailing address
2007 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1221
(317) 385-3051
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
01/24/2024
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