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Organization
EBSC, LLC
Active
Organization
EBSC, LLC
Active
Other names
Surgical Care Center of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE PATRICE KILGORE RN BSN (ADMINISTRATICE DIRECTOR)
(616) 580-6520
Entity
Organization
Contact information
Practice address
750 EAST BELTLINE NE, GRAND RAPIDS, MI 49525-6049
(616) 940-3600
(616) 954-0213
Mailing address
750 EAST BELTLINE NE, GRAND RAPIDS, MI 49525-6049
(616) 940-3600
(616) 954-0216
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/18/2006
Last updated
01/03/2021
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