Ebsc, Llc is a Ambulatory Surgical in Grand Rapids, Michigan. Ebsc, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Ebsc, Llc is 1700967106. The last update date is 2021-01-03.
Ebsc, Llc's current location address is 750 East Beltline Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169403600 and fax number 6169540216. The mailing address for Ebsc, Llc is 750 East Beltline Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ebsc, Llc |
|---|---|
| Address | 750 East Beltline Ne, Grand Rapids, Michigan |
| Phone Number | 6169403600 |
| Fax Number | 6169540216 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Kilgore Patrice Kristine |
| Credentials | RN BSN |
| Telephone Number | 6165806520 |
NPI Number Detail
| NPI Number | 1700967106 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2021-01-03 |
Provider Mailing Address Detail
| Address | 750 East Beltline Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256049 |
| Phone Number | 6169403600 |
| Fax Number | 6169540216 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490001454 | MI | MEDICARE RR |
Post Comment/ Review Below
What is the unique identifier code issued to Ebsc, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Ebsc, Llc has been assigned the NPI (National Provider Identifier) 1700967106. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ebsc, Llc's physical address?
The Ebsc, Llc is physically located at 750 East Beltline Ne, in the city of Grand Rapids, MI, with the postal code 495256049.
What is Ebsc, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ebsc, Llc is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.
On what date did Ebsc, Llc receive its 1700967106 assignment from the Centers for Medicare & Medicaid Services?
The Ebsc, Llc was assigned its 1700967106 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Ebsc, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ebsc, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-01-03.
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