SOUTHHEALTH ASC LLC NPI 1154840064

NPI Information

NPI: 1154840064
Provider Name: SOUTHHEALTH ASC, LLC

Doing Business As: EDINA SPECIALTY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4100 MINNESOTA DRIVE
EDINA, MN
ZIP 55435
Phone: (763) 302-2800
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SOUTHHEALTH ASC, LLC is an ambulatory surgical clinic center in Edina, MN. SOUTHHEALTH ASC, LLC NPI is 1154840064. The provider is registered as an organization entity type.
The provider Is Doing Business As Edina Specialty Surgery Center.

The provider's business location address is:

4100 MINNESOTA DRIVE
EDINA, MN
ZIP 55435
Phone: (763) 302-2800

The provider's authorized official is Katie Kensy .
The authorized official title is Project Manager and has the following contact phone number (651) 497-8819.

The CLIA number assigned to this NPI record is 24D2153240 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 12/27/2018.

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			Yes

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

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