# MANKATO SURGICAL CENTER, L.L.C.

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

## Provider details

- **NPI number:** 1720161615
- **Authorized official:** SARA L EBERT (CONTROLLER/BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (507) 388-6000

## Contact information

- **Practice address:** 1411 PREMIERE DR, MANKATO, MN 56001
- **Practice address phone:** (507) 388-6000
- **Practice address fax:** (507) 388-6913
- **Mailing address:** 1411 PREMIERE DR, MANKATO, MN 56001-6076
- **Mailing address phone:** (507) 388-6000
- **Mailing address fax:** (507) 388-6913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 331023 | MN | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 03/18/2022