| Ridges Surgery Center Llc | |
|
201 E Nicollet Blvd Burnsville MN 55337-5714 | |
| (952) 892-2762 | |
| Not Available |
| Full Name | Ridges Surgery Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 E Nicollet Blvd, Burnsville, Minnesota |
| Authorized Official Name and Position | Michael K Miller (DIRECTOR) |
| Authorized Official Contact | 9528922762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridges Surgery Center Llc 14101 Fairview Drive Burnsville MN 55337 Ph: (952) 892-2762 | Ridges Surgery Center Llc 201 E Nicollet Blvd Burnsville MN 55337-5714 Ph: (952) 892-2762 |
| NPI Number | 1215350509 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Medicare PECOS PAC ID | 1951624246 |
|---|---|
| Medicare Enrollment ID | O20141217001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215350509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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