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Organization

GREAT BASIN SURGICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSANNE CROSS (OFFICE MANAGER)
(775) 753-5571
Entity
Organization

Contact information

Practice address
855 GOLFCOURSE RD, ELKO, NV 89801-3451
(775) 753-4700
(775) 753-4703
Mailing address
855 GOLFCOURSE RD, ELKO, NV 89801-3451
(775) 753-4700
(775) 753-4703

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2172ASC-8
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004604001
NV
Enumeration date
04/28/2006
Last updated
03/12/2015
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