NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Sullivan Surgicenter,LLC

Ambulatory Surgical Clinic/Center in Sullivan, IN · enumerated 2006 · authorized official Custodio Lim, Ceo.

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

National Provider Identifier

1700854072

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Registry record

Entity type Organization (Type 2)
Legal business name Sullivan Surgicenter,LLC
Practice address 320 N Section St, Sullivan, IN, 47882
Fax (812) 268-8822
Enumeration date Mar 10, 2006
Last updated in NPPES Dec 6, 2012

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 05-003633-1 (IN) Primary

Authorized official

Name Custodio Lim
Title Ceo

Other identifiers

Identifier Type State Issuer
200503030 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 is the NPI number for Sullivan Surgicenter,LLC?
The NPI for Sullivan Surgicenter,LLC is 1700854072, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sullivan Surgicenter,LLC?
NPPES lists Custodio Lim (Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-06.