MEDICARE: FRANCISCAN SURGERY CENTER, LLC

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	05-003217-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05-003217-1	OTHER	IN	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184601098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN SURGERY CENTER, LLC

Provider Business Mailing Address
First Line	:	5255 E STOP 11 RD
Second Line	:	SUITE 100
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-6341
Country	:	US
Telephone Number	:	317-528-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	5255 E STOP 11 RD
Second Line	:	SUITE 100
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-6341
Country	:	US
Telephone Number	:	317-528-5900
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CHANDLER SHIRER
Credential	:
Telephone Number	:	317-528-5910

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	06/25/2024

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Directions to “FRANCISCAN SURGERY CENTER, LLC ” Practice Location

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