| NPI | 1043204944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JARVIS Controller 812-475-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN 3891) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |