SOUTHWEST SURGICAL SUITES – NPI #1154322410
Clinic/Center
SOUTHWEST SURGICAL SUITES is an AHC clinic located in FORT WAYNE, IN. NPPES has assigned the NPI number 1154322410 to SOUTHWEST SURGICAL SUITES on August 09, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHWEST SURGICAL SUITES” is a dba name, the actual legal business name for this organization is SUMMIT SURGICAL SUITES, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was last updated on Aug 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHWEST SURGICAL SUITES below.
NPI Profile for
SUMMIT SURGICAL SUITES, LLC
(about 21 years ago)
SUITE 210
FORT WAYNE, IN 46804-4168 Phone: (260) 434-2022 Fax: (260) 434-2023
DIRECTOR OF PROVIDER ENROLLMENT-AO
Phone: (615) 465-7377
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SOUTHWEST SURGICAL SUITES
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | PHP PROVIDER NUMBER | IN | 13443 |
| medicaid | IN | 200413500 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
IN | 05-003212-1 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.