MANITOWOC SURGERY CENTER LLC NPI 1033140397

NPI Information

  • NPI: 1033140397
  • Provider Name: MANITOWOC SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1720 MEMORIAL DRIVE
    MANITOWOC, WI
    ZIP 54220
  • Phone: (920) 683-1250

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NPI Details

MANITOWOC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Manitowoc, WI. MANITOWOC SURGERY CENTER, LLC NPI is 1033140397. The provider is registered as an organization entity type.

The provider's business location address is:

1720 MEMORIAL DRIVE
MANITOWOC, WI
ZIP 54220
Phone: (920) 683-1250
Fax: (920) 683-1279

The provider's authorized official is Kathleen Sue Willhite .
The authorized official title is Executive Director and has the following contact phone number (920) 683-1250.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/26/2010.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000085167MEDICARE PINWISCONSIN
241915800MEDICAIDWISCONSIN
352C0001072MEDICARE OSCAR/CERTIFICATIONWISCONSIN

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: 11/21/2025

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