ST. CLOUD EAR NOSE & THROAT - SURGICAL SUITES LLC NPI 1417188830

NPI Information

NPI: 1417188830
Provider Name: ST. CLOUD EAR, NOSE & THROAT - SURGICAL SUITES LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1528 NORTHWAY DR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-0233
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ST. CLOUD EAR, NOSE & THROAT - SURGICAL SUITES LLC is an ambulatory surgical clinic center in Saint Cloud, MN. ST. CLOUD EAR, NOSE & THROAT - SURGICAL SUITES LLC NPI is 1417188830. The provider is registered as an organization entity type.

The provider's business location address is:

1528 NORTHWAY DR
SAINT CLOUD, MN
ZIP 56303-255
Phone: (320) 252-0233
Fax: (320) 257-1126

The provider's authorized official is Larry R Boller .
The authorized official title is Administrator and has the following contact phone number (320) 252-0233.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 8/3/2009.

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	PENDING		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: 5/5/2024

NPI Synchronization or Removal

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