EAST PARIS SURGICAL CENTER LLC NPI 1194798959

NPI Information

NPI: 1194798959
Provider Name: EAST PARIS SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D1025862

Address:
1000 E PARIS AVE SE
SUITE LL01
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 464-3430
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EAST PARIS SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Grand Rapids, MI. EAST PARIS SURGICAL CENTER, LLC NPI is 1194798959. The provider is registered as an organization entity type.

The provider's business location address is:

1000 E PARIS AVE SE
SUITE LL01
GRAND RAPIDS, MI
ZIP 49546-680
Phone: (616) 464-3430
Fax: (616) 464-3440

The provider's authorized official is Kathy J Mosley .
The authorized official title is Facility Administrator and has the following contact phone number (616) 949-2001.

The CLIA number assigned to this NPI record is 23D1025862 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 8/22/2020.

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	416834	MICHIGAN	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

NPI Synchronization or Removal

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