MANITOWOC SURGERY CENTER, LLC; NPI #1033140397

Contact Information

MANITOWOC SURGERY CENTER, LLC

1720 MEMORIAL DRIVE
MANITOWOC, WI 54220

Phone: 920-683-1250
Fax: 920-683-1279
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for MANITOWOC SURGERY CENTER, LLC

NPI # 1033140397

LBN Legal business name MANITOWOC SURGERY CENTER, LLC

Authorized official KATHLEEN WILLHITE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2006

Last updated 04/26/2010 - About 16 years ago

Identifiers

Medicaid

41915800

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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