Innovative Procedural Center Llc in Watertown - Ambulatory Surgical
Innovative Procedural Center Llc - NPI 1184660151
Innovative Procedural Center Llc is a Ambulatory Surgical in Watertown, South Dakota. Innovative Procedural Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Innovative Procedural Center Llc is 1184660151. The last update date is 2010-12-22.
Innovative Procedural Center Llc's current location address is 1512 4th St Ne, Watertown, South Dakota. You can contact this provider via phone number 6058840100. The mailing address for Innovative Procedural Center Llc is 1512 4th St Ne, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Procedural Center Llc |
|---|---|
| Address | 1512 4th St Ne, Watertown, South Dakota |
| Phone Number | 6058840100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Retterath L Patrick |
| Credentials | MD |
| Telephone Number | 6058840100 |
NPI Number Detail
| NPI Number | 1184660151 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2010-12-22 |
Provider Mailing Address Detail
| Address | 1512 4th St Ne |
|---|---|
| City | Watertown |
| State | South Dakota (SD) |
| Post Code | 572016824 |
| Phone Number | 6058840100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 51560 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81020 | SD | BCBS - GROUP | |
| 610973000 | MN | -- | |
| P00188503 | SD | RAILROAD MEDICARE | |
| 5490390 | SD | -- | |
| 4N38IN | MN | BCBS - GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Innovative Procedural Center Llc by the Centers for Medicare & Medicaid Services?
The Innovative Procedural Center Llc has been assigned the NPI (National Provider Identifier) 1184660151 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Innovative Procedural Center Llc?
The Innovative Procedural Center Llc is physically situated at 1512 4Th St Ne, in the city of Watertown, state of SD, with the postal code 572016824.
What is Innovative Procedural Center Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Innovative Procedural Center Llc is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.
When did Innovative Procedural Center Llc receive its 1184660151 assignment?
The Innovative Procedural Center Llc was assigned its 1184660151 on 2006-06-20, which is the date when this unique identifier was issued to the organization.
When was the information related to Innovative Procedural Center Llc most recently updated or refreshed?
The details pertaining to the Innovative Procedural Center Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-22.
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