BRAINERD LAKES SURGERY CENTER L L C
Surgery Yellow Pages
Baxter, Minnesota
Provider NPI: 1750378295
Organization Information:Organization Name: BRAINERD LAKES SURGERY CENTER L L C
Practice Location:
13114 ISLE DR BAXTER, MN 56425 US
Tel: 218-822-2400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
13114 ISLE DR BAXTER, MN 56425 US
Tel: 218-822-2400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | MN | 328113 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
AMERICAS PPO ARAZ | 2314785 | MN | 01 |
SELECT CARE | 6800051 | MN | 01 |
PALMETTO GBA | P00205406 | MN | 01 |
UCARE | 181112 | MN | 01 |
BCBS | 0L00BR | MN | 01 |
MEDICA | 6800051 | MN | 01 |
201937000 | MN | 05 | |
HEALTHPARTNERS | 105730 | MN | 01 |
PREFERRED ONE | 1043422 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin