Provider Demographics
NPI:1912959727
Name:ARNETT SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ARNETT SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SKEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-448-8000
Mailing Address - Street 1:PO BOX 7301
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47903-7301
Mailing Address - Country:US
Mailing Address - Phone:765-448-8000
Mailing Address - Fax:765-448-8335
Practice Address - Street 1:1327 S 500 E
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-8718
Practice Address - Country:US
Practice Address - Phone:765-448-8000
Practice Address - Fax:765-448-8335
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARNETT SURGERY CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-17
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN5772180001OtherNSC IDENTIFICATION NUMBER
IN5772180001OtherNSC IDENTIFICATION NUMBER