Provider Demographics
NPI:1649318452
Name:WHITE OAKS SURGERY CENTER LLC
Entity type:Organization
Organization Name:WHITE OAKS SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:CAPARROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-922-5100
Mailing Address - Street 1:1950 45TH STREET
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-3917
Mailing Address - Country:US
Mailing Address - Phone:219-922-5100
Mailing Address - Fax:219-934-1052
Practice Address - Street 1:1950 45TH STREET
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-3917
Practice Address - Country:US
Practice Address - Phone:219-922-5100
Practice Address - Fax:219-934-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center