Horseshoe Surgery Center, LLC
Clinic/Center, Ambulatory Surgical in Grand Rapids, MN. Organization (NPI-2).
NPI number1265487474
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1265487474
- Entity type
- Organization (NPI-2)
- Legal business name
- Horseshoe Surgery Center, LLC
- Organization subpart
- No
- Enumeration date
- May 24, 2006
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Other names
- Lakewood Surgery Center (Doing Business As)
Practice location
1542 Golf Course RdSuite 105
Grand Rapids, MN 55744-9603
Phone 218-326-0667 · Fax 218-326-3435
Mailing address
1542 Golf Course RdSuite 105
Grand Rapids, MN 55744-9603
Phone 218-326-0667 · Fax 218-326-3435
Authorized official
Kelly Skelly
Executive Director
2183263937
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