# HIAWATHA SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenway Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215573209
- **Authorized official:** AMISTYENE BRINCEFIELD (ADMINISTRATOR)
- **Authorized official phone:** (612) 728-2668

## Contact information

- **Practice address:** 2020 E 28TH ST STE 100, MINNEAPOLIS, MN 55407-1453
- **Practice address phone:** (612) 728-7000
- **Practice address fax:** (612) 728-2660
- **Mailing address:** 9205 WOODLAND DR, MINNETRISTA, MN 55375-4516
- **Mailing address phone:** (763) 464-1611
- **Mailing address fax:** (612) 728-2660

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 11/25/2019