Metro Specialty Surgery Center, LLC
Clinic/Center, Ambulatory Surgical in Jeffersonville, IN. Organization (NPI-2).
Details
- NPI
- 1902134372
- Entity type
- Organization (NPI-2)
- Legal business name
- Metro Specialty Surgery Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 24, 2009
- Certification date
- Sep 13, 2024
- Last updated
- Sep 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
200 Missouri AveBuilding 18
Jeffersonville, IN 47130-3061
Phone 205-266-0283 · Fax 502-742-2509
Mailing address
200 Missouri AvenueBuilding 18
Jeffersonville, IN 47130-3061
Phone 205-266-0283 · Fax 502-742-2509
Authorized official
Christopher Hartshorn
Officer/Authorized Official
3148002017
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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