WOODLAND SURGERY CENTER LLC NPI 1245297662

NPI Information

NPI: 1245297662
Provider Name: WOODLAND SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2325 N CASALOMA DR
APPLETON, WI
ZIP 54913
Phone: (920) 730-2885
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WOODLAND SURGERY CENTER LLC is an ambulatory surgical clinic center in Appleton, WI. WOODLAND SURGERY CENTER LLC NPI is 1245297662. The provider is registered as an organization entity type.

The provider's business location address is:

2325 N CASALOMA DR
APPLETON, WI
ZIP 54913-284
Phone: (920) 730-2885

The provider's authorized official is Tina Sauer .
The authorized official title is Administrator and has the following contact phone number (920) 225-8008.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 4/28/2013.

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

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	000085951	MEDICARE PIN	WISCONSIN
2	490005491	OTHER	WISCONSIN	RAIL ROAD MEDICARE
3	100005171	MEDICAID	WISCONSIN
4	52C0001048	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

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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