GREAT BASIN SURGICAL CENTER LLC NPI 1114984549

NPI Information

NPI: 1114984549
Provider Name: GREAT BASIN SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
855 GOLFCOURSE RD
ELKO, NV
ZIP 89801
Phone: (775) 753-4700
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GREAT BASIN SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Elko, NV. GREAT BASIN SURGICAL CENTER, LLC NPI is 1114984549. The provider is registered as an organization entity type.

The provider's business location address is:

855 GOLFCOURSE RD
ELKO, NV
ZIP 89801-451
Phone: (775) 753-4700
Fax: (775) 753-4703

The provider's authorized official is Susanne Cross .
The authorized official title is Office Manager and has the following contact phone number (775) 753-5571.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 3/12/2015.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	2172ASC-8	NEVADA	Yes

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
1	31607	MEDICARE PIN	NEVADA
2	004604001	MEDICAID	NEVADA

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: 11/14/2023

NPI Synchronization or Removal

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