# GREAT BASIN SURGICAL CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114984549
- **Authorized official:** MS. SUSANNE CROSS (OFFICE MANAGER)
- **Authorized official phone:** (775) 753-5571

## Contact information

- **Practice address:** 855 GOLFCOURSE RD, ELKO, NV 89801-3451
- **Practice address phone:** (775) 753-4700
- **Practice address fax:** (775) 753-4703
- **Mailing address:** 855 GOLFCOURSE RD, ELKO, NV 89801-3451
- **Mailing address phone:** (775) 753-4700
- **Mailing address fax:** (775) 753-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2172ASC-8 | NV | Yes |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 03/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004604001 | — | NV |