# NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC

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

## Provider details

- **NPI number:** 1316133044
- **Authorized official:** CASSANDRA KAY AMUNDSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (763) 581-9025

## Contact information

- **Practice address:** 9855 HOSPITAL DR, STE 175, MAPLE GROVE, MN 55369-4772
- **Practice address phone:** (763) 981-3200
- **Practice address fax:** (763) 981-3201
- **Mailing address:** 9855 HOSPITAL DR STE 175, MAPLE GROVE, MN 55369-7504
- **Mailing address phone:** (763) 581-9000
- **Mailing address fax:** (763) 581-9001

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2007
- **Last updated:** 07/29/2026