Provider Demographics
NPI:1669032942
Name:ALLIED PHYSICIANS SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ALLIED PHYSICIANS SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:STRASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-807-8667
Mailing Address - Street 1:53990 CARMICHAEL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1585
Mailing Address - Country:US
Mailing Address - Phone:574-243-9700
Mailing Address - Fax:
Practice Address - Street 1:53990 CARMICHAEL DR
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1582
Practice Address - Country:US
Practice Address - Phone:574-243-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty