Organization
SURGERY CENTER OF WISCONSIN RAPIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SMITH (ADMINISTRATOR)
(715) 424-1881
Entity
Organization
Contact information
Practice address
140 24TH ST S, WISCONSIN RAPIDS, WI 54494-1906
(715) 424-1881
(715) 423-1602
Mailing address
PO BOX 8005, WISCONSIN RAPIDS, WI 54495-8005
(715) 424-1881
(715) 423-1602
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41915300
—
WI
Enumeration date
10/10/2006
Last updated
10/27/2023
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