BS
BROADWEST SPECIALTY SURGICAL CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MERRILLVILLE, IN
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1770532194
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients223
RevalidationDue 2023-07-31
Authorized official
NameVIJAY GUPTA
TitlePRESIDENT/CEO
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