MEDICARE: SURGICAL CARE CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174568810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	9202 N MERIDIAN ST STE 150
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1833
Country	:	US
Telephone Number	:	317-841-2020
Fax Number	:	317-570-7433

Provider Business Practice Location Address
First Line	:	9202 N MERIDIAN ST STE 150
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1833
Country	:	US
Telephone Number	:	317-841-2020
Fax Number	:	317-570-7433

Authorized Official
Title or Position	:	CEO
Name	:	CRISTINA ALLEN
Credential	:
Telephone Number	:	317-841-2020

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	07/02/2024

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