Advanced Center for Cardiothoracic Surgery LLC
Organization Active NPI Medical Specialty Clinic/Center · South Bend, IN
NPI 1447520291 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1447520291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- 01034778A (IN)
- Legal business name
- ADVANCED CENTER FOR CARDIOTHORACIC SURGERY LLC
- Practice address
- 707 N Michigan St
503
South Bend, IN 46601-1067 - Phone
- (574) 647-6500
- Fax
- (574) 647-6518
- NPI assigned
- Jan 11, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. James Patrick Kelly, M.D.
- Title
- President
- Phone
- (574) 647-6500
National Provider Directory
Locations
707 N Michigan St
Ste 503
South Bend, IN 46601
Phone (574) 647-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 01034778A | IN | Yes |
Addresses
Primary practice location
707 N Michigan St
503
South Bend, IN 46601-1067
Mailing address
707 N Michigan St
503
South Bend, IN 46601-1067
Phone (574) 647-6500
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All providers in South Bend, IN · Medical Specialty Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.