Organization
BLAINE MN MULTI SPECIALTY ASC LLC
Active
Other names
North Metro Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
11855 ULYSSES ST NE, SUITE 270, BLAINE, MN 55434-3947
(763) 755-6540
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00825924
RAILROAD
MN
Enumeration date
05/14/2009
Last updated
05/11/2022
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