Mankato Surgical Center, L.L.C.
Clinic/Center, Ambulatory Surgical in Mankato, MN. Organization (NPI-2).
NPI number1720161615
StatusActive
Last updated in NPPESMar 18, 2022
Details
- NPI
- 1720161615
- Entity type
- Organization (NPI-2)
- Legal business name
- Mankato Surgical Center, L.L.C.
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Certification date
- Mar 18, 2022
- Last updated
- Mar 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 331023 | MN | Yes |
| 207L00000X | Anesthesiology | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Other names
- Mankato Surgery Center (Doing Business As)
Practice location
1411 Premiere DrMankato, MN 56001
Phone 507-388-6000 · Fax 507-388-6913
Mailing address
1411 Premiere DrMankato, MN 56001-6076
Phone 507-388-6000 · Fax 507-388-6913
Authorized official
Sara L Ebert
Controller/Business Office Manager
5073886000
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