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WAUKESHA SURGICENTER LLC NPI 1245958586


NPI Information

NPI: 1245958586
Provider Name: WAUKESHA SURGICENTER, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 52D2279743

Address:
813 W MORELAND BLVD
WAUKESHA, WI
ZIP 53188
Phone: (262) 297-7246
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WAUKESHA SURGICENTER, LLC is a non pharmacy dispensing site in Waukesha, WI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) WAUKESHA SURGICENTER, LLC NPI is 1245958586. The provider is registered as an organization entity type.

The provider's business location address is:

813 W MORELAND BLVD
WAUKESHA, WI
ZIP 53188-963
Phone: (262) 297-7246
Fax: (888) 714-0578

The provider's authorized official is Kevin Hooker .
The authorized official title is Hr and has the following contact phone number (262) 297-7246.

The CLIA number assigned to this NPI record is 52D2279743 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2022 and was last updated on 8/22/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

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: 5/5/2024

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