ADVANCED SURGICAL CARE OF WYOMING LLC NPI 1639783335

NPI Information

NPI: 1639783335
Provider Name: ADVANCED SURGICAL CARE OF WYOMING, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 53D2192695

Address:
51 TOWN CENTER DR STE 140
GILLETTE, WY
ZIP 82718
Phone: (307) 660-3934
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ADVANCED SURGICAL CARE OF WYOMING, LLC is an ambulatory surgical clinic center in Gillette, WY. ADVANCED SURGICAL CARE OF WYOMING, LLC NPI is 1639783335. The provider is registered as an organization entity type.

The provider's business location address is:

51 TOWN CENTER DR STE 140
GILLETTE, WY
ZIP 82718-521
Phone: (307) 660-3934

The provider's authorized official is Mark G Murphy .
The authorized official title is Ceo,owner and has the following contact phone number (307) 682-6222.

The CLIA number assigned to this NPI record is 53D2192695 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 10/6/2020.

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			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: 4/28/2024

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