MINNESOTA VASCULAR SURGERY CENTER NPI 1568503845

NPI Information

NPI: 1568503845
Provider Name: MINNESOTA VASCULAR SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 24D2264138

Address:
600 COUNTY ROAD D
NEW BRIGHTON, MN
ZIP 55112
Phone: (763) 432-4300
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MINNESOTA VASCULAR SURGERY CENTER is an ambulatory surgical clinic center in New Brighton, MN. MINNESOTA VASCULAR SURGERY CENTER NPI is 1568503845. The provider is registered as an organization entity type.

The provider's business location address is:

600 COUNTY ROAD D
NEW BRIGHTON, MN
ZIP 55112-519
Phone: (763) 432-4300
Fax: (763) 432-4301

The provider's authorized official is Lisa G. Norby .
The authorized official title is Executive Assistant/credentialing and has the following contact phone number (763) 398-2203.

The CLIA number assigned to this NPI record is 24D2264138 - other - private research clinical with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 12/17/2012.

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	MINNESOTA	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	490000064	MEDICARE UPIN
2	508958000	MEDICAID	MINNESOTA

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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