EBSC LLC NPI 1700967106

NPI Information

EBSC, LLC is an ambulatory surgical clinic center in Grand Rapids, MI. EBSC, LLC NPI is 1700967106. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgical Care Center Of Michigan.

The provider's business location address is:

750 EAST BELTLINE NE
GRAND RAPIDS, MI
ZIP 49525-049
Phone: (616) 940-3600
Fax: (616) 954-0213

The provider's authorized official is Kristine Patrice Kilgore .
The authorized official title is Administratice Director and has the following contact phone number (616) 580-6520.

The CLIA number assigned to this NPI record is 23D0884303 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 1/3/2021.

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:

Other Identifiers

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