# WOODBURY AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1154308880
- **Authorized official:** BECKIE HINES (DIRECTOR OF SURGERY CENTERS)
- **Authorized official phone:** (651) 968-5438

## Contact information

- **Practice address:** 8675 VALLEY CREEK RD STE 300, WOODBURY, MN 55125-2337
- **Practice address phone:** (651) 241-3450
- **Practice address fax:** (651) 241-3453
- **Mailing address:** 8675 VALLEY CREEK RD STE 300, WOODBURY, MN 55125-2337
- **Mailing address phone:** (651) 241-3450
- **Mailing address fax:** (651) 241-3453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 375356 | MN | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 06/03/2016
