Great Lakes Surgery Center Llc in Pleasant Prairie - Ambulatory Surgical
Great Lakes Surgery Center Llc - NPI 1700045168
Great Lakes Surgery Center Llc is a Ambulatory Surgical in Pleasant Prairie, Wisconsin. Great Lakes Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Great Lakes Surgery Center Llc is 1700045168. The last update date is 2011-03-23.
Great Lakes Surgery Center Llc's current location address is Po Box 580772, Pleasant Prairie, Wisconsin. You can contact this provider via phone number 2626573668. The mailing address for Great Lakes Surgery Center Llc is Po Box 580772, Pleasant Prairie, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Surgery Center Llc |
|---|---|
| Address | Po Box 580772, Pleasant Prairie, Wisconsin |
| Phone Number | 2626573668 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Thiery K Lisa |
| Telephone Number | 2626573668 |
NPI Number Detail
| NPI Number | 1700045168 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2011-03-23 |
Provider Mailing Address Detail
| Address | Po Box 580772 |
|---|---|
| City | Pleasant Prairie |
| State | Wisconsin (WI) |
| Post Code | 531588101 |
| Phone Number | 2626573668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | PENDING |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Great Lakes Surgery Center Llc by the Centers for Medicare & Medicaid Services?
The Great Lakes Surgery Center Llc has been issued the NPI (National Provider Identifier) 1700045168. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Great Lakes Surgery Center Llc's physical address?
The Great Lakes Surgery Center Llc is physically located at Po Box 580772, in the city of Pleasant Prairie, WI, with the postal code 531588101.
What is Great Lakes Surgery Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Great Lakes Surgery Center Llc's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
When did Great Lakes Surgery Center Llc receive its 1700045168 assignment?
The Great Lakes Surgery Center Llc was assigned its 1700045168 on 2008-06-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Great Lakes Surgery Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Great Lakes Surgery Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-23.