# SURGERY CENTER OF KALAMAZOO LLC

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

## Provider details

- **NPI number:** 1700966710
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 3200 W CENTRE AVE, SUITE 101, PORTAGE, MI 49024-4889
- **Practice address phone:** (269) 323-9905
- **Mailing address:** 3200 W CENTRE AVE, SUITE 101, PORTAGE, MI 49024-4889
- **Mailing address phone:** (269) 323-9905

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/20/2024