Southeast Wisconsin Ambulatory Surgical Center S C in Kenosha - Ambulatory Surgical
Southeast Wisconsin Ambulatory Surgical Center S C - NPI 1225153620
Southeast Wisconsin Ambulatory Surgical Center S C is a Ambulatory Surgical in Kenosha, Wisconsin. Southeast Wisconsin Ambulatory Surgical Center S C practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Southeast Wisconsin Ambulatory Surgical Center S C is 1225153620. The last update date is 2014-07-07.
Southeast Wisconsin Ambulatory Surgical Center S C's current location address is 10105 74th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626974301 and fax number 2629258409. The mailing address for Southeast Wisconsin Ambulatory Surgical Center S C is 10105 74th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Wisconsin Ambulatory Surgical Center S C |
|---|---|
| Address | 10105 74th St, Kenosha, Wisconsin |
| Phone Number | 2626974301 |
| Fax Number | 2629258409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cernak R Cynthia |
| Credentials | DPM |
| Telephone Number | 2626974301 |
NPI Number Detail
| NPI Number | 1225153620 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2014-07-07 |
Provider Mailing Address Detail
| Address | 10105 74th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427519 |
| Phone Number | 2626974301 |
| Fax Number | 2629258409 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 52D1008619 |
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Definition: Provides outpatient surgical services not requiring hospitalization. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southeast Wisconsin Ambulatory Surgical Center S C by the Centers for Medicare & Medicaid Services?
The Southeast Wisconsin Ambulatory Surgical Center S C has been issued the NPI (National Provider Identifier) 1225153620, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southeast Wisconsin Ambulatory Surgical Center S C located?
The Southeast Wisconsin Ambulatory Surgical Center S C is located at 10105 74Th St, Kenosha, WI 531427519.
What is the area of specialization for Southeast Wisconsin Ambulatory Surgical Center S C, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeast Wisconsin Ambulatory Surgical Center S C is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225153620 to Southeast Wisconsin Ambulatory Surgical Center S C?
The Southeast Wisconsin Ambulatory Surgical Center S C received its 1225153620 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date was the information pertaining to Southeast Wisconsin Ambulatory Surgical Center S C, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeast Wisconsin Ambulatory Surgical Center S C, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-07.