NEWCO AMBULATORY SURGERY CENTER, LLP
Surgery Yellow Pages
Fort Gratiot, Michigan
Provider NPI: 1629079611
Organization Information:Organization Name: NEWCO AMBULATORY SURGERY CENTER, LLP
Practice Location:
4190 24TH AVE FORT GRATIOT, MI 48059 US
Tel: 810-989-7649 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:
4190 24TH AVE FORT GRATIOT, MI 48059 US
Tel: 810-989-7649 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | MI | 746818 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
FIRST HEALTH | 30036708 | 01 | |
BLUE CARE NETWORK | 40221 | 01 | |
PREFERRED CHOICES | 139016 | 01 | |
CARE CHOICES | 139016 | 01 | |
HEALTH PLAN OF MICHIGAN | 32463 | 01 | |
BLUE CROSS BLUE SHIELD | 40221 | MI | 01 |
GREAT LAKES HEALTH PLAN | 143728 | MI | 01 |
CIGNA | 4563971 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin