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NPI Code Detail

MEDICARE: VINCENNES SURGERY CENTER LP

MEDICARE: VINCENNES SURGERY CENTER LP
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/CenterIN

General Provider Information

NPI Number : 1821091802
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINCENNES SURGERY CENTER LP
Provider Business Mailing Address
First Line : 300 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1252
Country : US
Telephone Number : 812-886-6063
Fax Number :
Provider Business Practice Location Address
First Line : 300 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1252
Country : US
Telephone Number : 812-886-6063
Fax Number :
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MRS. MINDY S VIECK
Credential :
Telephone Number : 812-886-6063
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/22/2020

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Directions to “VINCENNES SURGERY CENTER LP ” Practice Location

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