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NORTHSTAR SURGICAL CENTER LP NPI 1932104064


NPI Information

NPI: 1932104064
Provider Name: NORTHSTAR SURGICAL CENTER LP

Doing Business As: NORTHSTAR SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D0985682

Address:
4640 N LOOP 289
LUBBOCK, TX
ZIP 79416
Phone: (806) 761-4880
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NORTHSTAR SURGICAL CENTER LP is an ambulatory surgical clinic center in Lubbock, TX. NORTHSTAR SURGICAL CENTER LP NPI is 1932104064. The provider is registered as an organization entity type.
The provider Is Doing Business As Northstar Surgical Center.

The provider's business location address is:

4640 N LOOP 289
LUBBOCK, TX
ZIP 79416-423
Phone: (806) 761-4880
Fax: (806) 749-5944

The provider's authorized official is Clifford G Adlerz .
The authorized official title is Ceo & President and has the following contact phone number (615) 234-5900.

The CLIA number assigned to this NPI record is 45D0985682 - ambulatory surgery center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/15/2005 and was last updated on 1/22/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalASC007292TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ASC111MEDICARE PIN
249-0005111OTHERTEXASRAILROAD MEDICARE
3142949003MEDICAIDTEXAS
4HH1557OTHERTEXASBLUE CROSS/BLUE SHIELD

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

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