Provider Type Icon

WOODBURY AMBULATORY SURGERY CENTER LLC NPI 1154308880


NPI Information

NPI: 1154308880
Provider Name: WOODBURY AMBULATORY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 24D2009364

Address:
8675 VALLEY CREEK RD STE 300
WOODBURY, MN
ZIP 55125
Phone: (651) 241-3450
Get Directions

WOODBURY AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Woodbury, MN. WOODBURY AMBULATORY SURGERY CENTER, LLC NPI is 1154308880. The provider is registered as an organization entity type.

The provider's business location address is:

8675 VALLEY CREEK RD STE 300
WOODBURY, MN
ZIP 55125-337
Phone: (651) 241-3450
Fax: (651) 241-3453

The provider's authorized official is Beckie Hines .
The authorized official title is Director Of Surgery Centers and has the following contact phone number (651) 968-5438.

The CLIA number assigned to this NPI record is 24D2009364 - other - pregnancy resource center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 6/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical375356MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.