MACKINAW SURGERY CENTER LLC NPI 1780747733

NPI Information

NPI: 1780747733
Provider Name: MACKINAW SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D1064223

Address:
5400 MACKINAW RD
SAGINAW, MI
ZIP 48604
Phone: (636) 220-8597
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MACKINAW SURGERY CENTER LLC is an ambulatory surgical clinic center in Saginaw, MI. MACKINAW SURGERY CENTER LLC NPI is 1780747733. The provider is registered as an organization entity type.

The provider's business location address is:

5400 MACKINAW RD
SAGINAW, MI
ZIP 48604
Phone: (636) 220-8597

The provider's authorized official is Daniel R Tasset .
The authorized official title is Vice Chair, Nuehealth and has the following contact phone number (913) 387-0510.

The CLIA number assigned to this NPI record is 23D1064223 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 5/20/2020.

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: 11/14/2023

NPI Synchronization or Removal

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