Provider Demographics
NPI:1598556888
Name:LANDMARK SURGICAL SUITES II, LLC
Entity type:Organization
Organization Name:LANDMARK SURGICAL SUITES II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:502-693-5292
Mailing Address - Street 1:400 CORPORATE DRIVE, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:502-693-5292
Mailing Address - Fax:502-693-5292
Practice Address - Street 1:400 CORPORATE DRIVE, SUITE 100
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-5137
Practice Address - Country:US
Practice Address - Phone:502-693-5292
Practice Address - Fax:502-693-5292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical