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ASC Facility Directory for ST JOSEPH county Created on: 10/3/2024 Posted to the Web on: 10/16/2024 ALLIED PHYSICIANS SURGERY CENTER LLC 53990 CARMICHAEL DR STE 100 SOUTH BEND, IN 46635 Administrator: CHARLES STRASSER Tel: (574)243-9700 Fax: (574)247-3300 License Number : 24-010984-1 Lic Expire Date: 6/30/2025 Medicare: Y Medicaid: Y AZURA SURGERY CENTER MICHIANA VASCULAR 250 EAST DAY ROAD SUITE 300 MISHAWAKA, IN 46545 Administrator: KANDIE SCHULTZ Tel: (574)968-0283 Fax: (574)968-1192 License Number : 24-014177-1 Lic Expire Date: 6/30/2025 Medicare: Y Medicaid: N CLI Surgery Center-South Bend/Mishawaka 4020 Edison Lakes Parkway Mishawaka, IN 46545 Administrator: INGRID WILLEMS Tel: Fax: License Number : 24-014906-1 Lic Expire Date: 12/31/2024 Medicare: N Medicaid: N MICHIANA ENDOSCOPY CENTER 53830 GENERATIONS DR STE A SOUTH BEND, IN 46635 Administrator: MICHELE MANIS Tel: (574)271-0893 Fax: (574)271-4362 License Number : 24-009761-1 Lic Expire Date: 6/30/2025 Medicare: Y Medicaid: Y MICHIANA SURGERY CENTER LLC 3212 HICKORY ROAD, SUITE A MISHAWAKA, IN 46545 Administrator: SUSAN RIDDLE Tel: (574)855-2223 Fax: (574)855-2943 License Number : 24-013086-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y SOUTH BEND CLINIC & SURGICENTER THE 211 N EDDY ST SOUTH BEND, IN 46617 Administrator: PAUL MEYER Tel: (574)237-9366 Fax: (574)237-9221 License Number : 24-005388-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y SOUTH BEND SPECIALTY SURGERY CENTER, LLC 335 FLORENCE AVENUE, STE 1B GRANGER, IN 46530 Administrator: FRANCES VANVYNCKT Tel: (574)217-0058 Fax: (574)272-3901 License Number : 24-012996-1 Lic Expire Date: 6/30/2025 Medicare: N Medicaid: Y THE CENTRE LLC 611 E DOUGLAS RD STE 108A MISHAWAKA, IN 46545 Administrator: LAIN DOWNS Tel: (574)968-0836 Fax: (574)243-1141 License Number : 24-012450-1 Lic Expire Date: 12/31/2024 Medicare: N Medicaid: N
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