GRASS LAKE SURGERY CENTER LLC


Address: 3800 Centennial Blvd, Grass Lake, MI 49240
Phone: 5177013100

GRASS LAKE SURGERY CENTER LLC (NPI# 1790306991) 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) 1790306991
Entity Type Organization
Organization Name GRASS LAKE SURGERY CENTER LLC
Practice Address 3800 Centennial Blvd
Grass Lake
MI 49240
Mailing Address 4685 Indianwood Ct
Clarkston
MI 48348-2269
Practice Telephone 5177013100
Mailing Telephone 2483968108
Enumeration Date 2020-04-29
Last Update Date 2020-04-29
Authorized Official Name KYLE NIEPORTE (VP OPERATIONS)
Authorized Official Telephone 2483968109
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

Office Location

Street Address 3800 CENTENNIAL BLVD
City GRASS LAKE
State MI
Zip Code 49240

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952969172 Indispensable Health Pharmacy 114 E. Michigan Ave, Suite 2, Grass Lake, MI 49240 2019-06-03
1205169851 David Oneill Foley Reflexologist 1165 Rowena Ave, Grass Lake, MI 49240 2009-09-15
1336240225 Kathleen Anzicek Family Medicine 12337 E Michigan Ave, Grass Lake, MI 49240-0246 2006-09-26
1174637995 Mark E Leventer Family Medicine 12337 E Michigan Ave, Grass Lake, MI 49240-0246 2006-08-18
1548486681 Providence Hospital General Acute Care Hospital 10508 Keane Dr, Grass Lake, MI 49240-8803 2007-04-17
1821299959 Betsabe Molleda Massage Therapist 11231 Huckleberry Ln, Grass Lake, MI 49240-8957 2007-05-29
1639789522 Ian Shepstone Chiropractor 139 W Michigan Ave, Grass Lake, MI 49240-9188 2020-08-05
1477746600 Patrick Raymond Eckes Chiropractor 125 W Michigan Ave, Grass Lake, MI 49240-9188 2007-08-21
1629233150 Grass Lake Chiropractic Center, Pllc Chiropractor 125 W Michigan Ave, Grass Lake, MI 49240-9188 2008-07-24
1447413380 Daniel Nelson Mikel Chiropractor 125 W Michigan Ave, Grass Lake, MI 49240-9188 2008-07-09
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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...

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1235750431 Precision Surgery Center LLC Clinic/Center 22701 Hall Road, Macomb, MI 48042 2020-04-29
1992339147 Movi Asc Management LLC Clinic/Center 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 2020-02-26
1609409929 Firestone Procedure Center LLC Clinic/Center 4520 Firestone St Ste C, Dearborn, MI 48126-4602 2020-02-14
1255972113 Center Health Surgery Center LLC Clinic/Center 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 2019-10-02
1942851639 Northern Michigan Surgical Suites, LLC Clinic/Center 825 Moll Dr, Boyne City, MI 49712-9182 2019-09-24
1699328146 Alliance Surgery Center, LLC Clinic/Center 3663 North Country Drive, Traverse City, MI 49684-4587 2019-07-23
1407313802 Spectrum Health Hospitals Clinic/Center 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 2019-02-22
1134685415 Southfield Surgery Center LLC Clinic/Center 26225 Greenfield Road, Southfield, MI 48076-4704 2019-02-12
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Competitor

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City GRASS LAKE
Zip Code 49240

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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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