SAINT CHARLES SURGICAL PAVILION INC NPI 1477513844

NPI Information

NPI: 1477513844
Provider Name: SAINT CHARLES SURGICAL PAVILION INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1900 SAINT CHARLES STREET
JASPER, IN
ZIP 47546
Phone: (812) 634-1211
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SAINT CHARLES SURGICAL PAVILION INC is an ambulatory surgical clinic center in Jasper, IN. SAINT CHARLES SURGICAL PAVILION INC NPI is 1477513844. The provider is registered as an organization entity type.

The provider's business location address is:

1900 SAINT CHARLES STREET
JASPER, IN
ZIP 47546-145
Phone: (812) 634-1211
Fax: (812) 634-9762

The provider's authorized official is Randall Gene Norris .
The authorized official title is Owner Ceo and has the following contact phone number (812) 634-1211.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 1/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	060025231	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZR2020	MEDICARE PIN	INDIANA
2	200318370A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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