TRI-STATE SURGICAL SERVICES, LLC


Address: 8206 Rockville Rd, Suite 132, Indianapolis, IN 46214
Phone: 5203238732

TRI-STATE SURGICAL SERVICES, LLC (NPI# 1982882098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982882098
Entity Type Organization
Organization Name TRI-STATE SURGICAL SERVICES, LLC
Practice Address 8206 Rockville Rd
Suite 132
Indianapolis
IN 46214
Mailing Address 6339 E Speedway Blvd
Suite 201
Tucson
AZ 85710-1147
Practice Telephone 5203238732
Practice Fax Number 5205471865
Mailing Telephone 5203238732
Mailing Fax Number 5205471865
Enumeration Date 2008-01-31
Last Update Date 2015-12-21
Authorized Official Name LACEY DINH (REVENUE CYCLE MANAGER OF ABS)
Authorized Official Telephone 5202580326
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Ohio Business Entities TRI-STATE SURGICAL SERVICES, LLC 6339 East Speedway, Suite 201, Tucson, AZ 85710

Office Location

Street Address 8206 ROCKVILLE RD
SUITE 132
City INDIANAPOLIS
State IN
Zip Code 46214

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1669816799 Advanced Surgery of Indiana LLC Clinic/Center 9470 Bridgewater Cir, Indianapolis, IN 46250-3412 2013-04-19
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Competitor

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City INDIANAPOLIS
Zip Code 46214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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