HORSESHOE SURGERY CENTER, LLC


Address: 1542 Golf Course Rd, Suite 105, Grand Rapids, MN 55744-9603
Phone: 2183260667

HORSESHOE SURGERY CENTER, LLC (NPI# 1265487474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265487474
Entity Type Organization
Organization Name HORSESHOE SURGERY CENTER, LLC
Other Organization Name LAKEWOOD SURGERY CENTER
Practice Address 1542 Golf Course Rd
Suite 105
Grand Rapids
MN 55744-9603
Practice Telephone 2183260667
Practice Fax Number 2183263435
Mailing Telephone 2183260667
Mailing Fax Number 2183263435
Enumeration Date 2006-05-24
Last Update Date 2020-01-29
Authorized Official Name KELLY SKELLY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2183263937
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lakewood Surgery Center Doing Business As Name - Organization

Office Location

Street Address 1542 GOLF COURSE RD
SUITE 105
City GRAND RAPIDS
State MN
Zip Code 55744-9603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700879756 John A Moran Ophthalmology 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 2005-08-24
1326683988 Matthew Davis Borowski Specialist/Technologist 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2019-11-07
1538672548 Kjerstin G Durie Physician Assistant 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2017-11-13
1104217785 Sarah Jean Levar Occupational Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2015-02-18
1871926691 Andrew Michael Mccann Physical Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2013-08-15
1093152423 Deer River Healthcare Center, Inc. Clinic/Center 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 2013-05-24
1245538750 Anne Marie Grozdanich Nurse Practitioner 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3555 2011-03-08
1174854350 Radtke Physical Therapy Limited Partnership Durable Medical Equipment & Medical Supplies 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2010-01-27
1659509362 Lanea D Johnson Occupational Therapist 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 2009-07-01
1376734418 Susan L Anderson Registered Nurse 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3555 2007-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710587696 Friesen & Friesen, Inc Assisted Living Facility 1971 Ne 1st Avenue, Grand Rapids, MN 55744 2020-10-29
1699392555 Duane Stanley Helmer Counselor First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 2020-06-26
1821631391 Patrice Marie Curtiss Technician 23792 Winckler Road, Grand Rapids, MN 55744 2019-10-28
1578117438 Christina Marie Hubred Advanced Practice Dental Therapist Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 2019-07-30
1780081877 Fcsl Grand Rapids, LLC Assisted Living Facility 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 2014-12-04
1912311333 Doctor V LLC Psychologist 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 2014-06-13
1104244987 Linda Reinen-thompson Contractor 34307 Hwy. 38, Grand Rapids, MN 55744 2014-03-31
1275883266 Lana Rae Jacobson Registered Nurse 1401 Nw 9th Street, Grand Rapids, MN 55744 2012-09-17
1518252048 David Allen Griggs Pharmacist 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 2011-06-13
1447575063 Kelly Ann Shermoen Pharmacist 18 Se 10th Street, Grand Rapids, MN 55744 2010-04-07
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407313802 Spectrum Health Hospitals Clinic/Center 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 2019-02-22
1275529562 Spectrum Health Hospitals Clinic/Center 80 68th St Se, Grand Rapids, MI 49548-6980 2005-09-22
1366438632 Spectrum Health Hospitals Clinic/Center 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 2005-09-22
1720530405 Grand Rapids Surgical Suites, Pllc Clinic/Center 2505 E Paris Ave Se, Suite 105, Grand Rapids, MI 49546-2459 2016-10-28
1134363690 Oam Surgery Center At Midtowne, LLC Clinic/Center 555 Midtowne St Ne, Suite 200, Grand Rapids, MI 49503-5729 2009-04-28
1184815417 Grand Rapids Plastic Surgery Plc Clinic/Center 426 Michigan St, Ste 300, Grand Rapids, MI 49503-5609 2007-08-01
1548332976 Plastic Surgery Associates PC Clinic/Center 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208 2006-11-14
1194798959 East Paris Surgical Center, LLC Clinic/Center 1000 E Paris Ave Se, Suite Ll01, Grand Rapids, MI 49546-3680 2006-02-10
1255327540 Spectrum Health Hospitals Clinic/Center 1000 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-3691 2005-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669079992 Woodbury Surgery Center, LLC Clinic/Center 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 2020-10-09
1902410368 Inspired Spine Surgcenter LLC Clinic/Center 7400 France Ave S Ste 102, Edina, MN 55435-4738 2020-09-03
1508480427 El Solutions LLC Clinic/Center 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 2020-06-05
1215573209 Hiawatha Surgery Center LLC Clinic/Center 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 2019-11-25
1346808714 Vance Thompson Vision Surgery Center Alexandria, Prof LLC Clinic/Center 2600 Jefferson St, Alexandria, MN 56308 2019-05-31
1942760285 Altru Health System Ambulatory Surgery Centers LLC Clinic/Center 400 S Minnesota St Ste B, Crookston, MN 56716-1808 2019-03-22
1396229746 Avera Marshall Clinic/Center 1521 Carlson St Ste 200, Marshall, MN 56258-2626 2018-09-21
1891297925 Pediatric Center Holdings, LLC Clinic/Center 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 2018-03-05
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1922526961 Blaine Asc, LLC Clinic/Center 11225 Ulysses Street Northeast, Blaine, MN 55434 2017-08-30
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Competitor

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City GRAND RAPIDS
Zip Code 55744

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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