CLI SURGERY CENTER – NPI #1639386659
Clinic/Center

CLI SURGERY CENTER is an AHC clinic located in KOKOMO, IN. NPPES has assigned the NPI number 1639386659 to CLI SURGERY CENTER on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLI SURGERY CENTER” is a dba name, the actual legal business name for this organization is MIDWEST EYE CONSULTANTS, P.C.. 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 previously updated about 15 years ago on Jan 17, 2011. 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 CLI SURGERY CENTER below.

NPI Profile for
MIDWEST EYE CONSULTANTS, P.C.

NPI Number
1639386659
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDWEST EYE CONSULTANTS, P.C.
Doing Business As (dba): CLI SURGERY CENTER
Primary location
1601 W LINCOLN RD
KOKOMO, IN 46902-3275
Phone: (765) 453-5696 Fax: (765) 455-4323
Mailing address
PO BOX 6550
KOKOMO, IN 46904-6550
Phone: (765) 453-5696 Fax: (765) 455-4323
Organization Subpart
Yes - CLI SURGERY CENTER is subpart of another organization.
Authorized Official
GREGORY GARNER
PRES./CEO
Phone: (260) 569-9550
Updated
Identifiers

Identifiers for CLI SURGERY CENTER

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.

DescriptionIssuerStateIdentifier
MEDICAIDIN200421610B
Taxonomy Code(s)

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)

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.