BLAINE MN MULTI SPECIALTY ASC LLC NPI 1760616031

NPI Information

  • NPI: 1760616031
  • Provider Name: BLAINE MN MULTI SPECIALTY ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: NORTH METRO SURGERY CENTER
  • CLIA Number: 24D1105289
  • Address: 11855 ULYSSES ST NE
    SUITE 270
    BLAINE, MN
    ZIP 55434
  • Phone: (763) 755-6540

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NPI Details

BLAINE MN MULTI SPECIALTY ASC LLC is an ambulatory surgical clinic center in Blaine, MN. BLAINE MN MULTI SPECIALTY ASC LLC NPI is 1760616031. The provider is registered as an organization entity type.
The provider Is Doing Business As North Metro Surgery Center.

The provider's business location address is:

11855 ULYSSES ST NE
SUITE 270
BLAINE, MN
ZIP 55434-947
Phone: (763) 755-6540

The provider's authorized official is Jeffrey E. Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 24D1105289 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Repair of brow paralysis (HCPCS:67900)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)

The enumeration date for this NPI number is 5/14/2009 and was last updated on 5/11/2022.

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
1261QA1903XClinic/CenterAmbulatory SurgicalMINNESOTAYes

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
1P00825924OTHERMINNESOTARAILROAD

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: 11/21/2025

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