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NPI Code Detail

MEDICARE: BELTWAY SURGERY CENTERS, LLC

MEDICARE: BELTWAY SURGERY CENTERS, 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
1261QA1903XAmbulatory Surgical Clinic/Center080022771IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZJ9010OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609052679
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELTWAY SURGERY CENTERS, LLC
Provider Business Mailing Address
First Line : 10300 N ILLINOIS ST
Second Line :
City : CARMEL
State : IN
Zip : 46290-1166
Country : US
Telephone Number : 317-278-5050
Fax Number :
Provider Business Practice Location Address
First Line : 10300 N ILLINOIS ST
Second Line :
City : CARMEL
State : IN
Zip : 46290-1166
Country : US
Telephone Number : 317-278-5050
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JON SCHAEFER
Credential :
Telephone Number : 317-817-1450
Provider Enumeration Date : 01/21/2008
Last Update Date : 01/21/2021

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Directions to “BELTWAY SURGERY CENTERS, LLC ” Practice Location

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