| NPI | 1215675111 |
|---|---|
| Former Legal Business Name | NORTHERN INDIANA SURGERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTINA MUSIC Director Of Provider Enrollment 615-465-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2024-08-21 |