SURGERY CENTER PLC
Surgery Yellow Pages
Traverse City, Michigan
Provider NPI: 1770577637
Organization Information:Organization Name: SURGERY CENTER PLC
Practice Location:
5080 N ROYAL DR TRAVERSE CITY, MI 49684 US
Tel: 231-929-2500 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:
5080 N ROYAL DR TRAVERSE CITY, MI 49684 US
Tel: 231-929-2500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 207W00000X | Physicians Ophthalmology | MI | TH048021 |
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS MD ANES GROUP | 050B810950 | MI | 01 |
BCBS - TSC | 40364 | MI | 01 |
BCBS CRNA GROUP | 430B810310 | MI | 01 |
MEDICARE RR | 490003947 | MI | 01 |
PRIORITY - TSC | 900003210 | MI | 01 |
BCBS | 490B870000 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin