Provider Demographics
NPI:1427641042
Name:ALLISONVILLE OUTPATIENT SURGERY CENTER, LLC
Entity type:Organization
Organization Name:ALLISONVILLE OUTPATIENT SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KILLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-569-0033
Mailing Address - Street 1:10967 ALLISONVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2634
Mailing Address - Country:US
Mailing Address - Phone:317-569-0033
Mailing Address - Fax:317-569-0540
Practice Address - Street 1:10967 ALLISONVILLE ROAD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2632
Practice Address - Country:US
Practice Address - Phone:317-569-0033
Practice Address - Fax:317-569-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical