Brainerd Lakes Surgery Center L L C in Baxter - Ambulatory Surgical

Brainerd Lakes Surgery Center L L C - NPI 1750378295

Brainerd Lakes Surgery Center L L C is a Ambulatory Surgical in Baxter, Minnesota. Brainerd Lakes Surgery Center L L C practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Brainerd Lakes Surgery Center L L C is 1750378295. The last update date is 2008-08-20.

Brainerd Lakes Surgery Center L L C's current location address is 13114 Isle Dr, Baxter, Minnesota. You can contact this provider via phone number 2188222400 and fax number 2188222401. The mailing address for Brainerd Lakes Surgery Center L L C is 13114 Isle Dr, Baxter, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brainerd Lakes Surgery Center L L C
Address 13114 Isle Dr, Baxter, Minnesota
Phone Number 2188222400
Fax Number 2188222401
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Berreth Sandra
Telephone Number 2188222402

NPI Number Detail

NPI Number 1750378295
Provider Enumeration Date 2005-09-30
Last Updated Date 2008-08-20

Provider Mailing Address Detail

Address 13114 Isle Dr
City Baxter
State Minnesota (MN)
Post Code 564258330
Phone Number 2188222400
Fax Number 2188222401

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 328113
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2314785 MN AMERICAS PPO ARAZ
6800051 MN SELECT CARE
0L00BR MN BCBS
181112 MN UCARE
105730 MN HEALTHPARTNERS
P00205406 MN PALMETTO GBA
6800051 MN MEDICA
1043422 MN PREFERRED ONE
201937000 MN --

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FAQs about Brainerd Lakes Surgery Center L L C

What is the Brainerd Lakes Surgery Center L L C's 1750378295?

The Brainerd Lakes Surgery Center L L C's NPI (National Provider Identifier) Number is 1750378295. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Brainerd Lakes Surgery Center L L C is geographically located?

The Brainerd Lakes Surgery Center L L C is physically situated at the following location: 13114 Isle Dr, Baxter, MN, 564258330.

What is Brainerd Lakes Surgery Center L L C's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brainerd Lakes Surgery Center L L C's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.

On what date did Brainerd Lakes Surgery Center L L C receive its 1750378295 assignment from the Centers for Medicare & Medicaid Services?

The Brainerd Lakes Surgery Center L L C was assigned its 1750378295 on 2005-09-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Brainerd Lakes Surgery Center L L C most recently updated or revised?

The information pertaining to Brainerd Lakes Surgery Center L L C, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-20.

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