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General NPI Number Information
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NPI Number | 1346210259
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Entity Type | Organization
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Legal Business Name | SURGICARE LLC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2907 MCINTYRE DR
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4209
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Country | US
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Telephone | 812-339-8000
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Fax | 812-339-2524
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Provider Business Mailing Address
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Address Line | 2907 MCINTYRE DR
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4209
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Country | US
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Telephone | 812-339-8000
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Fax | 812-339-2524
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TODD A EADS
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Credential | MD
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Telephone | 812-339-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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