# EBSC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgical Care Center of Michigan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700967106
- **Authorized official:** MRS. KRISTINE PATRICE KILGORE RN BSN (ADMINISTRATICE DIRECTOR)
- **Authorized official phone:** (616) 580-6520

## Contact information

- **Practice address:** 750 EAST BELTLINE NE, GRAND RAPIDS, MI 49525-6049
- **Practice address phone:** (616) 940-3600
- **Practice address fax:** (616) 954-0213
- **Mailing address:** 750 EAST BELTLINE NE, GRAND RAPIDS, MI 49525-6049
- **Mailing address phone:** (616) 940-3600
- **Mailing address fax:** (616) 954-0216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 01/03/2021