Organization · NPI-2

White Oaks Surgery Center LLC

Clinic/Center · Munster, IN

NPI number1649318452
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1649318452
Entity type
Organization (NPI-2)
Legal business name
White Oaks Surgery Center LLC
Organization subpart
No
Enumeration date
Feb 2, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1950 45th Street
Munster, IN 46321-3917

Phone 219-922-5100 · Fax 219-934-1052

Mailing address

1950 45th Street
Munster, IN 46321-3917

Phone 219-922-5100 · Fax 219-934-1052

Authorized official

Mary K Caparros
Ceo
2199225100

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