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Sagamore Surgical Services, Inc.

Ambulatory Surgical Clinic/Center in Lafayette, IN · enumerated 2005 · authorized official Shelby Brouillette, Administrator Don.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003816307

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Registry record

Entity type Organization (Type 2)
Legal business name Sagamore Surgical Services, Inc.
Practice address 2320 Concord Rd, Ste B, Lafayette, IN, 47909
Phone (765) 474-7854
Enumeration date Jul 28, 2005
Last updated in NPPES Apr 22, 2025

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 05-006126-1 (IN) Primary

Authorized official

Name Shelby Brouillette
Title Administrator Don
Phone (765) 474-7838

Other identifiers

Identifier Type State Issuer
100274550A Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Sagamore Surgical Services, Inc.?
Sagamore Surgical Services, Inc. is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-22.